| Doctor Name: | MS. TERESA ANN COLEMAN |
| NPI Number: | 1164667903 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PLPC |
| License Number: | 2008035877 |
| Business Practice Address: | 380 E. Hwy Cc A105 Nixa, MO - 65714 |
| Business Phone Number: | 4172995258 |
| Business Fax Number: | 4177256206 |
| Mailing Address: | 1603 E Walnut St, SPRINGFIELD |
| State: | MO |
| Postal Code: | 658023213 |
| Phone Number: | 4172995258 |
| Fax Number: | 4177256206 |
| NPI Enumeration Date: | 12/08/2008 |
| NPI Last Update Date: | 09/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2008035877 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |