Healthcare Provider Details

I. General information

NPI: 1659171445
Provider Name (Legal Business Name): SABRINA COLEMAN MSN,APRN,RN, PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2025
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

648 MCDAVID AVE SUITE A
LAMBERT MS
38643
US

IV. Provider business mailing address

PO BOX 814
LAMBERT MS
38643-0814
US

V. Phone/Fax

Practice location:
  • Phone: 662-351-4225
  • Fax:
Mailing address:
  • Phone: 662-645-0145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number907323
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number907392
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: