Provider Demographics
NPI:1730905779
Name:COLEMAN-AVANT, TREVEN
Entity type:Individual
Prefix:
First Name:TREVEN
Middle Name:
Last Name:COLEMAN-AVANT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3016 HARNEY ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-3535
Mailing Address - Country:US
Mailing Address - Phone:402-431-3285
Mailing Address - Fax:
Practice Address - Street 1:3016 HARNEY ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-3535
Practice Address - Country:US
Practice Address - Phone:402-431-3285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach