Provider Demographics
NPI:1396157350
Name:COLEMAN, BRITTANY LEE (LCSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 ALA MOANA BLVD APT C204
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1351
Mailing Address - Country:US
Mailing Address - Phone:801-529-6938
Mailing Address - Fax:
Practice Address - Street 1:1034 QUEEN ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4116
Practice Address - Country:US
Practice Address - Phone:808-425-1502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI524501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical