Provider Demographics
NPI:1548831092
Name:COLEMAN, LADYDENISE (LPC)
Entity type:Individual
Prefix:
First Name:LADYDENISE
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7810 GLASTONBURY DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-9323
Mailing Address - Country:US
Mailing Address - Phone:214-762-5026
Mailing Address - Fax:
Practice Address - Street 1:7810 GLASTONBURY DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-9323
Practice Address - Country:US
Practice Address - Phone:214-762-5026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health