COASTAL AUTISM THERAPY CENTER, INC. (NPI# 1447488945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447488945 |
| Entity Type | Organization |
| Organization Name | COASTAL AUTISM THERAPY CENTER, INC. |
| Practice Address |
110 Pipemakers Cir Ste 116 Pooler GA 31322-4168 |
| Mailing Address |
130 Canal St Ste 101 Pooler GA 31322-4091 |
| Practice Telephone | 9123307171 |
| Practice Fax Number | 8884134567 |
| Mailing Telephone | 9125071553 |
| Mailing Fax Number | 9124439004 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | MRS. CRYSTAL HEIGHT (CEO/BEHAVIOR ANALYST) |
| Authorized Official Telephone | 9125071553 |
| Authorized Official Credential | ANP-BC, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
110 PIPEMAKERS CIR STE 116 |
| City | POOLER |
| State | GA |
| Zip Code | 31322-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407216 | J'kayla Wiggins | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-11-03 |
| 1043825615 | Morgan Mcghee | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-09-10 |
| 1285249821 | Graham Anderson | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-09-10 |
| 1679188213 | Laquasha Andrews | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-09-10 |
| 1801407986 | Kristen Hardison | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-08-12 |
| 1740890912 | James Ahern | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-08-03 |
| 1679195390 | Dafina Felix | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-05-15 |
| 1487288528 | Marisa Cannon | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-02-27 |
| 1376105379 | Janece Gabrielle Rambo | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2019-07-01 |
| 1528520384 | Adidasheonna Sloan | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2019-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467990119 | Introspection & Reflection | Community/Behavioral Health | 184 Hamilton Grove Dr, Pooler, GA 31322-9644 | 2017-02-02 |
| 1568913341 | Covenant Counseling Services, LLC. | Community/Behavioral Health | 1145 Us Highway 80 W, Pooler, GA 31322-2200 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.