Individual ProviderSamantha B ColemanCounselorBehavioral Health & Social Service ProvidersPractice Address1701 White Street, Mccomb, MS 39648(601) 249-4217PECOS EnrollmentBased on the most recent information from CMS, provider Samantha B 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 yesterday at 9:15 AM.Profile DetailsProvider ID1790150969Provider TypeIndividualFull NameColeman, Samantha BTitleMissCredentialMS, LPC, NCCGenderFemaleSole ProprietorNoEnumeration Date12/14/2015Last Updated5/11/2017Contact InformationPractice LocationPractice Address1701 White Street, Mccomb, MS 39648Phone(601) 249-4217Fax(601) 249-4234Mailing LocationMailing AddressPO Box 768, 1701 White Street, Mccomb, MS 39648Phone(601) 249-4217Fax(601) 249-4234Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerLouisianaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense5781Louisiana