Coastal Counseling Associates, Pllc

LBN: Coastal Counseling Associates, Pllc
Coastal Counseling Associates, Pllc is an health care organization with primary practice located at 115 Hinton Ave Suite 7, Wilmington NC 28403-4785. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Coastal Counseling Associates, Pllc can be contacted via phone (910) 350-0004, or through Campbell, Richard Charles via phone (910) 350-0004.

Contact Information

Primary practice address
115 Hinton Ave Suite 7 Wilmington NC 28403-4785
Fax: (910) 350-1206
Website:
Authorized official contact:
Name: Campbell, Richard Charles PH.D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1680 North Carolina

Profile Details

NPI number 1891981866
LBN Legal business name Coastal Counseling Associates, Pllc
DBA Doing business as
Authorized official Campbell, Richard Charles PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2007
Last updated Jan 25th, 2012 - about 12 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 1891981866 NPPES
North Carolina MEDICAID 6000486

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