Most Relevant Information
Provider Data
| NPI Number: | 1003658089 |
| Provider Name: | HAILEY ROSE COLEMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/10/2024 |
| Last Updated: | 06/10/2024 |
Provider Practice Location
1300 HAMPTON AVE STE 200
SAINT LOUIS
MO
631393163
Practice Location Phone/Fax
| Phone: | 3146682804 |
| Fax: |
Provider Mailing Location
7545 YORK DR APT 1W
SAINT LOUIS
MO
631052936
Provider Mailing Phone/Fax
| Phone: | 8705144841 |
| Fax: |