Selena Coleman, D.D, LCCT

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

09173982 Issued in GA

Practice address

434 Flat Shoals Ave SE Ste 5
Atlanta, GA 30316-1915

Phone

(678) 908-8371

NPI assigned

Jul 11, 2014

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Brook of Serenity Therapy, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1912314246
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1508272402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160014",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161001",
            "telephone_number": "678-908-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 FLAT SHOALS AVE SE STE 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161915",
            "telephone_number": "678-908-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SELENA",
        "name_prefix": "Dr.",
        "credential": "D.D, LCCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": "09173982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Catrice Coleman, FNP
• Marla O. Coleman, D. D. S
• Michael S Coleman, P.A.
• Nichelle Coleman
• Patrick Coleman, MD
• Shannon Coleman, MD
• Tracee M Coleman
• Zeudiann L.P. Coleman, D.C.
• Naomi Rene' Coles-Strickland
• Ansley Coles, PT, DPT

• Pastoral Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pastoral Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.