Individual provider · Type 1 NPI

Lavern L. Coleman

Mental Health Counselor · Rolling Fork, MS

NPI number 1104789239 Active

Practice location

317 W Race St
Rolling Fork, MS 39159-2623

Fax (662) 873-2244

Mailing address

2504 Browning Road 520
Greenwood, MS 38930-6022

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCMHT (MS)

Mental Health Counselor: Definition to come...

2 other providers at this address

About NPI 1104789239

Lavern L. Coleman's National Provider Identifier is 1104789239, issued on Dec 5, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rolling Fork, MS. The record was last updated on Dec 5, 2025.