COASTAL MENTAL HEALTH SERVICE PROVIDERS (NPI# 1831320985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831320985 |
| Entity Type | Organization |
| Organization Name | COASTAL MENTAL HEALTH SERVICE PROVIDERS |
| Practice Address |
104 Winner Ave Suite 1 Carolina Beach NC 28428-4801 |
| Practice Telephone | 9107070516 |
| Practice Fax Number | 9107070516 |
| Mailing Telephone | 9107070516 |
| Mailing Fax Number | 9107070516 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-11-19 |
| Authorized Official Name | MRS. DIANE LYNN DOUGAN (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9107070516 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
104 WINNER AVE SUITE 1 |
| City | CAROLINA BEACH |
| State | NC |
| Zip Code | 28428-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235682022 | Pleasure Island Health | Nurse Practitioner | 1328 North Lake Park Blvd Ste 102, Carolina Beach, NC 28428 | 2016-07-27 |
| 1497151625 | Brianna Noelle Walter | Counselor | 1328 Lake Park Blvd N Ste 109, Carolina Beach, NC 28428 | 2014-11-17 |
| 1003061045 | John B Callahan | Counselor | 100 Eighth St N, Carolina Beach, NC 28428 | 2008-11-18 |
| 1649365099 | Amanda Dixon Cerqueira | Dentist | 1328 N. Lake Blvd, Suite 107, Carolina Beach, NC 28428 | 2006-10-03 |
| 1104929884 | North Carolina Cvs Pharmacy LLC | Pharmacy | 901 Dow Rd, Carolina Beach, NC 28428 | 2006-09-07 |
| 1184635302 | Vincent Robert Smith | Dentist | 1300 Bridge Barrier Rd, Carolina Beach, NC 28428 | 2006-08-11 |
| 1972029320 | Kaitlin Sledge Maertz | Speech-Language Pathologist | 105 Florida Ave, Carolina Beach, NC 28428 | 2017-08-17 |
| 1033557665 | Carolina Beach Counseling, LLC | Psychiatry & Neurology | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428 | 2013-06-05 |
| 1720253784 | Wilmington Health Pllc | Specialist | 1300 Bridge Barrier Rd, Suite 2, Carolina Beach, NC 28428 | 2008-04-29 |
| 1639776362 | Olga O Orraca | Acupuncturist | 1328 Lake Park Blvd N Ste 106b, Carolina Beach, NC 28428-3906 | 2020-10-06 |
| Find all providers in zip 28428 | ||||
| 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 |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | CAROLINA BEACH |
| Zip Code | 28428 |
Please comment or provide details below to improve the information on COASTAL MENTAL HEALTH SERVICE PROVIDERS.
| 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.