Individual provider · Type 1 NPI
Mikayla G. Montgomery Coleman
Child Intellectual and/or Developmental Disabilities Respite Care · Ravenna, OH
NPI number
1346886892
Active
Practice location
150 N Chestnut St Unit 204
Ravenna, OH 44266-4018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | None listed |
| Respite Care | 385H00000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
| Child Physical Disabilities Respite Care | 385HR2065X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Other child intellectual and/or developmental disabilities respite care providers in Ravenna
About NPI 1346886892
Mikayla G. Montgomery Coleman's National Provider Identifier is 1346886892, issued on Nov 20, 2019. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Ravenna, OH. The record was last updated on Feb 19, 2026.