Wilma Gordon Coleman in Bloomfield - Mental Health
Wilma Gordon Coleman - NPI 1629282751
Wilma Gordon Coleman is a Mental Health in Bloomfield, Connecticut. Wilma Gordon Coleman practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Wilma Gordon Coleman is 1629282751. The last update date is 2007-07-08.
Wilma Gordon Coleman's current location address is 11 Mountain Ave Ste 101, Bloomfield, Connecticut. You can contact this provider via phone number 8602860100 and fax number 8608821989. The mailing address for Wilma Gordon Coleman is 11 Mountain Ave Ste 101, Bloomfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wilma Gordon Coleman |
|---|---|
| Address | 11 Mountain Ave Ste 101, Bloomfield, Connecticut |
| Phone Number | 8602860100 |
| Fax Number | 8608821989 |
| Sole Proprietor | Y |
| Credentials | MA, LPC |
NPI Number Detail
| NPI Number | 1629282751 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11 Mountain Ave Ste 101 |
|---|---|
| City | Bloomfield |
| State | Connecticut (CT) |
| Post Code | 60022343 |
| Phone Number | 8602860100 |
| Fax Number | 8608821989 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 1307 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7342824 | CT | AETNA PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wilma Gordon Coleman?
The Wilma Gordon Coleman has been issued the NPI (National Provider Identifier) 1629282751 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Wilma Gordon Coleman's facilities are geographically located?
The facilities of Wilma Gordon Coleman are physically situated at the following location: 11 Mountain Ave Ste 101, Bloomfield, CT, 60022343.
What is Wilma Gordon Coleman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wilma Gordon Coleman's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629282751 to Wilma Gordon Coleman?
The Centers for Medicare & Medicaid Services originally issued the 1629282751 to Wilma Gordon Coleman on 2007-05-09.
When was the information regarding Wilma Gordon Coleman most recently updated?
The details pertaining to the Wilma Gordon Coleman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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