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General NPI Number Information
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NPI Number | 1346596590
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Entity Type | Individual
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Provider Name | KARISSA DIANE COLEMAN LPC
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Gender | Female
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 9356 GOODMAN RD UNIT 3
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-1700
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Country | US
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Telephone | 662-469-6270
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Fax | 855-975-2540
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Provider Business Mailing Address
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Address Line | 40 PICKWICK PLACE
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City | BYHALIA
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State | MS
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Zip | 38611
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Country | US
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Telephone | 662-469-6270
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Fax | 855-975-2540
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2801
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License Number State | MS
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