Marion Yvonne Coleman, LPC

Individual provider Active NPI Mental Health Counselor · Mountain BRK, AL

NPI 1477847259 · NPPES record last updated Nov 10, 2023

Key facts

NPI
1477847259
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LPC01902 (AL)
Practice address
3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418
Phone
(205) 994-2798
Fax
(205) 778-5304
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240205003067 AL Practitioner - Mental Health Counselor 8022451251 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
K & F Investments LLC Current
since Jan 1, 2024
Accepting new patients
Regimen Pediatric Healthcare LLC Past Accepting new patients

Locations

3918 Montclair Rd
Ste 206
Mountain Brk, AL 35213
Phone (205) 994-2798

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC01902 AL Yes

Addresses

Primary practice location

3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418

Mailing address

3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418
Phone (205) 994-2798

Other providers in Mountain BRK, AL

All providers in Mountain BRK, AL · Mental Health Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.