Coastal Behavioral Health, Llc

LBN: Coastal Behavioral Health, Llc
Coastal Behavioral Health, Llc is an health care organization with primary practice located at 175 Lancaster St Ste 218A , Portland ME 04101-2451. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty. Coastal Behavioral Health, Llc can be contacted via phone (203) 671-3788, or through Grazia, Paul via phone (203) 671-3788.

Contact Information

Primary practice address
175 Lancaster St Ste 218A Portland ME 04101-2451
Phone: (203) 671-3788
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grazia, Paul Licensed Clinical Social Worker (LCSW)
Phone: (203) 671-3788

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X LC15872 Maine
Agencies / Community/Behavioral Health 251S00000X LC15872 Maine
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X LC15872 Maine

Profile Details

NPI number 1396239208
LBN Legal business name Coastal Behavioral Health, Llc
DBA Doing business as
Authorized official Grazia, Paul Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2018
Last updated Jun 15th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396239208 NPPES
Maine MEDICAID 1669850376
Maine MEDICAID 1992162390

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