Organization · Type 2 NPI

Kezia E Coleman Psyd LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Clayton, MO

NPI number 1427673367 Active

Practice location

7777 Bonhomme Ave Ste 1800
Clayton, MO 63105-1931

Call (314) 472-3091 Map

Mailing address

7711 Bonhomme Ave Ste 720
Clayton, MO 63105-1908

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1427673367
Entity type: Organization (Type 2)
Issued: Jun 16, 2020
Last updated: Sep 21, 2023
Status: Active

Other names

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Healing Spaces Psychological Services LLC · doing business as
Kezia E Coleman Psyd LLC · former legal business name

Authorized official

Dr. Kezia Jackson, PSYD
Owner
(314) 472-3091

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About NPI 1427673367

Kezia E Coleman Psyd LLC's National Provider Identifier is 1427673367, issued on Jun 16, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Clayton, MO. The record was last updated on Sep 21, 2023.