Individual provider · Type 1 NPI
Tracy Lenora Coleman, CEO
Mental Health Counselor · South Prince George, VA
NPI number
1972940039
Active
Practice location
10537 S Crater Rd
South Prince George, VA 23805-7333
Fax (804) 895-6884
Mailing address
PO Box 6015
Petersburg, VA 23805-6015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1912 (VA) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in South Prince George
About NPI 1972940039
Tracy Lenora Coleman, CEO's National Provider Identifier is 1972940039, issued on May 30, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Prince George, VA. The record was last updated on May 30, 2013.