Healthcare Provider Details

I. General information

NPI: 1639000532
Provider Name (Legal Business Name): STEEPED IN SPIRIT COUNSELING & CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N SECOND ST
MEBANE NC
27302-2401
US

IV. Provider business mailing address

5612 US HIGHWAY 70
MEBANE NC
27302-2401
US

V. Phone/Fax

Practice location:
  • Phone: 336-265-7485
  • Fax:
Mailing address:
  • Phone: 336-265-7485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: IYANNA K COLEMAN
Title or Position: OWNER/MANAGER
Credential: LCMHC-A
Phone: 716-247-0365