Lavern L Coleman
Individual provider Active NPI Mental Health Counselor · Rolling Fork, MS
NPI 1104789239 · NPPES record last updated Dec 5, 2025
Key facts
- NPI
- 1104789239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CMHT (MS)
- Practice address
- 317 W Race St
Rolling Fork, MS 39159-2623 - Phone
- (662) 873-6228
- Fax
- (662) 873-2244
- NPI assigned
- Dec 5, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMHT | MS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Community Mental Health Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CMHT | MS | Yes |
Addresses
Primary practice location
317 W Race St
Rolling Fork, MS 39159-2623
Mailing address
2504 Browning Road 520
Greenwood, MS 38930-6022
Phone (662) 451-6211
Other providers in Rolling Fork, MS
- Robert Benton Black II
- Johnny Brown
- Emily Foreman Carter
- Susan Caselli
- James Andrew Cheatham
- Deer Creek Pharmacy LLC
- Delta Community Mental Health Services
- Delta Health Center, Inc.
- Kiona J Dorsey
- Dr. Danny W Jackson D.O. PA
All providers in Rolling Fork, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.