Individual
MICHELLE S. COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4 SHACKLEFORD PLZ STE 202A, LITTLE ROCK, AR 72211-1844
(501) 588-7800
Mailing address
11415 HURON LN UNIT 22205, LITTLE ROCK, AR 72221-7125
(501) 588-7800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
11619
CA
101YP2500X
Professional Counselor
37PC00883200
NJ
101YP2500X
Professional Counselor
Primary
P0501002
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y519
BLUE CROSS BLUE SHIELD
AR
Enumeration date
10/05/2005
Last updated
01/11/2023
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