Kimetta Arniece Coleman
Pastoral Counselor
2375 E Camelback Rd # 628
Phoenix
, Arizona 85016-3424
Kimetta Arniece Coleman
Pastoral Counselor
2375 E Camelback Rd # 628
Phoenix
, Arizona 85016-3424
(602) 801-2770
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Kimetta Arniece Coleman
- Po Box 20712
- Phoenix, AZ
- Zip : 85036-0712
- Fax : (602) 801-2770
- Phone : (602) 606-5742
Second Address
- Kimetta Arniece Coleman
- 2375 E Camelback Rd # 628
- Phoenix, AZ
- Zip : 85016-3424
- Fax : (602) 801-2770
- Phone : (602) 606-5742
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Is Kimetta Arniece Coleman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | AZ |
National Provider Identifier
| NPI | 1114530540 |
|---|---|
| Provider Name | Kimetta Arniece Coleman |
| First Address | Phoenix, AZ 85036-0712 |
| Second Address | Phoenix, AZ 85016-3424 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2020 |
| Last Update Date | 25/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 005311 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.