Provider Demographics
NPI:1154296671
Name:COLEMAN, RODNEY LAVON (DMIN)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:LAVON
Last Name:COLEMAN
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 FAIR OAKS CT
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-7984
Mailing Address - Country:US
Mailing Address - Phone:336-287-8213
Mailing Address - Fax:
Practice Address - Street 1:244 FAIR OAKS CT
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-7984
Practice Address - Country:US
Practice Address - Phone:336-287-8213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0230111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical