Individual
ALEXIUS COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 CARTER ST, VIDALIA, LA 71373-3206
(318) 734-0034
(318) 414-2277
Mailing address
806 CARTER ST, VIDALIA, LA 71373-3206
(318) 734-0034
(318) 414-2277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/29/2019
Last updated
06/11/2019
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