| NPI | 1003409954 |
|---|---|
| Former Legal Business Name | TAMARA COLEMAN COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | TAMARA COLEMAN Owner 601-937-7849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |