Individual
TIA SYMONE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 HIGHWAY 80 W, CLINTON, MS 39056-4108
(601) 473-2106
Mailing address
836B SUSSEX PL, RIDGELAND, MS 39157-1232
(601) 942-7478
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-1221
MS
Other
Enumeration date
09/09/2025
Last updated
11/18/2025
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