Healthcare Provider Details

I. General information

NPI: 1700229986
Provider Name (Legal Business Name): MS. MAY NOELLE COLEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. MAY NOELLE HUSSAIN

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 SAN PEDRO DR NE STE 105
ALBUQUERQUE NM
87110-3373
US

IV. Provider business mailing address

PO BOX 21243
ALBUQUERQUE NM
87154-1243
US

V. Phone/Fax

Practice location:
  • Phone: 505-221-6834
  • Fax:
Mailing address:
  • Phone: 505-715-3977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: