NPI 1154185098

Mikayla Coleman

Practitioner Mental Illness Community Based Residential Treatment Facility Manorville, NY

Practice location

Address: 416 Weeks Ave, Manorville, NY 11949-2036
Phone: (631) 284-8824
Mailing address: 14202 20th Ave, Flushing, NY 11351-3000

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in New York →

Registry record

NPI: 1154185098
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2024
Record last updated: 12 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.