Organization
CYNTHIA COLEMAN JOB COACHING SERVICE
Active
Other names
Cynthia Coleman Job Coaching Service
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CYNTHIA COLEMAN BACHELOR (PRESIDENT OF CYNTHIA COLEMAN JOB CO)
(901) 653-0255
Entity
Organization
Contact information
Practice address
1201 PERA DR, MEMPHIS, TN 38127-5217
(901) 653-0255
(901) 653-0255
Mailing address
1201 PERA DR, MEMPHIS, TN 38127-5217
(901) 653-0255
(901) 653-0255
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-4160739
IDD WAIVER
TN
01
—
824160739
IDD WAIVER
TN
Enumeration date
03/18/2021
Last updated
03/18/2021
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