MEDICARE: STEVEN COLEMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1407798218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN COLEMAN

Provider Business Mailing Address
First Line	:	40400 W CHAMBERS DR
Second Line	:
City	:	MARICOPA
State	:	AZ
Zip	:	85138-9614
Country	:	US
Telephone Number	:	619-323-6872
Fax Number	:

Provider Business Practice Location Address
First Line	:	40400 W CHAMBERS DR
Second Line	:
City	:	MARICOPA
State	:	AZ
Zip	:	85138-9614
Country	:	US
Telephone Number	:	619-323-6872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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