Individual
BRIELLE AMARIS COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 ARDMORE RD, WEST HARTFORD, CT 06119-1201
(860) 759-4564
Mailing address
36 ARDMORE RD, WEST HARTFORD, CT 06119-1201
(860) 759-4564
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SHP0971875865
ANTHEM
CT
Enumeration date
01/27/2022
Last updated
04/09/2025
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