Kevin Coleman, LMFT-A

Individual provider Active NPI Marriage & Family Therapist · Columbia, SC

NPI 1699433946 · NPPES record last updated Mar 25, 2024

Key facts

NPI
1699433946
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
8074 (SC)
Practice address
1226 Pickens St
Columbia, SC 29201-3462
Phone
(803) 386-7597
NPI assigned
Dec 3, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8074SCMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X 8074 SC Yes

Addresses

Primary practice location

1226 Pickens St
Columbia, SC 29201-3462

Mailing address

6542 Satchel Ford Rd
Columbia, SC 29206-1045

Other providers in Columbia, SC

All providers in Columbia, SC · Marriage & Family Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.