Individual ProviderDiana Christine ColemanMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address6101 Broadway Ter, Oakland, CA 94618-2015(510) 589-0896PECOS EnrollmentBased on the most recent information from CMS, provider Diana Christine Coleman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1649894239Provider TypeIndividualFull NameColeman, Diana ChristineCredentialPH.DGenderFemaleSole ProprietorNoEnumeration Date5/30/2020Last Updated5/30/2020Contact InformationPractice LocationPractice Address6101 Broadway Ter, Oakland, CA 94618-2015Phone(510) 589-0896FaxUnlisted FaxMailing LocationMailing Address6101 Broadway Ter, Oakland, CA 94618-2015PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense97522California