Al Coldtrain, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000840 Issued in NC

Practice address

1822 Sally Hill Farms Blvd
Florence, SC 29501-6987

Phone

(803) 776-4000

NPI assigned

Feb 11, 2009

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1679712954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "295830691",
            "telephone_number": "843-621-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 SALLY HILL FARMS BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016987",
            "telephone_number": "803-776-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDTRAIN",
        "first_name": "AL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "000840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La'Keisha Coker, MS,RD,LD
• Phillip Lewis Coker, D.M.D.
• Rachael Coker
• Shelley Lovell Coker, NNP
• Steven Coker, MD
• Rachel Laurin Cole, BSN, RN
• Amanda Coleburn, FNP
• Blanche Coleman
• Jana Marie Coleman, PHARM. D
• Lois J Coleman

• Mental Health Counselor in Florence, SC
• Providers in Florence, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.