Healthcare Provider Details

I. General information

NPI: 1295289213
Provider Name (Legal Business Name): ELIZABETH COLEMAN MA, LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA COLEMAN MA, LMHCA

II. Dates (important events)

Enumeration Date: 08/08/2016
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 MERIDIAN AVE N STE G11
SEATTLE WA
98133-9008
US

IV. Provider business mailing address

4120 STONE WAY N
SEATTLE WA
98103-8014
US

V. Phone/Fax

Practice location:
  • Phone: 206-901-2000
  • Fax:
Mailing address:
  • Phone: 206-461-3707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMC60582810
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCP61523189
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61059356
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: