Provider Demographics
NPI:1487497541
Name:COLEMAN, CAYLA (LSW)
Entity type:Individual
Prefix:
First Name:CAYLA
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E SPRINGHILL DR STE LANDM
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-4439
Mailing Address - Country:US
Mailing Address - Phone:812-221-1078
Mailing Address - Fax:812-413-2970
Practice Address - Street 1:500 E SPRINGHILL DR STE LANDM
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4439
Practice Address - Country:US
Practice Address - Phone:812-221-1078
Practice Address - Fax:812-413-2970
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker