Provider Demographics
NPI:1245108463
Name:COLEMAN-STOKES, VERNIQUE J (PCC-S, LICDC-CS,)
Entity type:Individual
Prefix:DR
First Name:VERNIQUE
Middle Name:J
Last Name:COLEMAN-STOKES
Suffix:
Gender:F
Credentials:PCC-S, LICDC-CS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9049 SPRINGBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-4926
Mailing Address - Country:US
Mailing Address - Phone:937-759-0545
Mailing Address - Fax:937-759-0549
Practice Address - Street 1:9049 SPRINGBORO PIKE
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-4926
Practice Address - Country:US
Practice Address - Phone:937-759-0545
Practice Address - Fax:937-759-0549
Is Sole Proprietor?:No
Enumeration Date:2025-10-28
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031113101Y00000X
OHE7704101YM0800X
OH1184405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No405300000XOther Service ProvidersPrevention Professional