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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CMHT (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.