Christine Coleman, LMHC – Mental Health Counselor

Key facts

NPI: 1740714716
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: MH15957 (FL)
Practice address: 804 3Rd St Ste a&B
Neptune Beach, FL 32266
Phone: (904) 621-3130
NPI assigned: Apr 17, 2017
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Child Guidance Center, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Jacksonville, FL · NPI 1144898974

NPD (past)

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
MH15957	FL	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Child Guidance Center, Inc.		Past since Jun 22, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	MH15957	FL	Yes

Addresses

Primary practice location

804 3Rd St Ste a&B
Neptune Beach, FL 32266

Mailing address

804 3Rd St Ste a&B
Neptune Beach, FL 32266-5040
Phone (904) 621-3130

Other practice location 1

4595 Lexington Ave
Jacksonville, FL 32210-2058
Phone (904) 448-4700

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Brad Vincent Cibik, R.PH.
Anthony Lucian Cinca, RPH
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David Crain, PT
Dakota Ray Czerniak, MS
Laura D'Alesio, DNP, APRN, FNP-C
Mary Margaret Dale

All providers in Neptune Beach, FL · Mental Health Counselor in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2018. 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.

Verify at the official NPI Registry.