Healthcare Provider Details
I. General information
NPI: 1841127941
Provider Name (Legal Business Name): DIAMOND ALIZE COLEMAN RMHCI, RMFTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/05/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2801 NE 213TH ST STE 1215
AVENTURA FL
33180-1267
US
IV. Provider business mailing address
4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US
V. Phone/Fax
- Phone: 833-769-3524
- Fax: 786-288-0384
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | IMH27978 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | IMT4410 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: