Healthcare Provider Details

I. General information

NPI: 1285507160
Provider Name (Legal Business Name): BRIANA COLEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3609 10TH AVE FL 1
LOS ANGELES CA
90018-4114
US

IV. Provider business mailing address

12700 INGLEWOOD AVE PO BOX 621
HAWTHORNE CA
90251-2406
US

V. Phone/Fax

Practice location:
  • Phone: 323-298-3680
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC20166
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: