ALBERT A COLEMAN (NPI# 1619104890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619104890 |
| Entity Type | Individual |
| Full Name | ALBERT A COLEMAN |
| Practice Address |
1205 East Broadway West Memphis AR 72301 |
| Mailing Address |
1205 E Broadway St West Memphis AR 72301-4428 |
| Practice Telephone | 9014154930 |
| Mailing Telephone | 9014154930 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1205 EAST BROADWAY |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801371422 | Jeannetta Gilliam | Counselor | 205 W Bond Ave, West Memphis, AR 72301-3907 | 2018-09-28 |
| 1720556434 | Jasmine L Mcneill | Counselor | 905 N 7th St, West Memphis, AR 72301-2001 | 2018-11-12 |
| 1447726088 | Destiny Hope Higgins | Counselor | 905 N 7th St, West Memphis, AR 72301-2001 | 2018-10-22 |
| 1912482019 | Joyce Harris | Counselor | 835 S Woods St, West Memphis, AR 72301-5347 | 2018-09-25 |
| 1386129476 | Christin Morgan | Counselor | 835 S Woods St, West Memphis, AR 72301-5347 | 2018-09-25 |
| 1114402294 | Sabrina Brown | Counselor | 835 S Woods St, West Memphis, AR 72301-5347 | 2018-09-25 |
| 1023525060 | Jessica Sandrell Malone | Counselor | 905 N 7th St, West Memphis, AR 72301 | 2017-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502305 | Gaye L Jones-washington | Counselor | 18411 Fawn Tree Dr, Little Rock, AR 72210-7131 | 2020-09-10 |
| 1811500606 | Amy Ballard Therapy, Pllc | Counselor | 2003 N Arthur St, Little Rock, AR 72207-3409 | 2020-08-31 |
| 1184236408 | Heather Rogero | Counselor | 990 Northpointe Dr, Mountain Home, AR 72653-8126 | 2020-08-18 |
| 1538779764 | Overcoming: A Private Therapy Practice, LLC | Counselor | 922 E Craighead Forest Rd Apt N, Jonesboro, AR 72404-8307 | 2020-08-03 |
| 1104442565 | Deandriea Bass-carrigan | Counselor | 1570 Rachel Dr, Conway, AR 72032-8619 | 2020-06-22 |
| 1134742133 | William Todd Institute for Family Wellness | Counselor | 1374 Highway 62 W, Pocahontas, AR 72455-3790 | 2020-05-26 |
| 1841810231 | Prosperity Hands Ministry | Counselor | 710 Sw Sterling Pl, Bentonville, AR 72712-7773 | 2020-04-26 |
| 1144860321 | Erica Ashton Sturgeon | Counselor | 411 W Poplar St, Rogers, AR 72756-4560 | 2020-01-15 |
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1396381927 | Eva Michelle Wood | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.