Coastal Mental Health Center Inc

LBN: Coastal Mental Health Center Inc
Coastal Mental Health Center Inc is an health care organization with primary practice located at 160 Treemonte Dr , Orange City FL 32763-7953. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Coastal Mental Health Center Inc can be contacted via phone (800) 614-4124, or through Richardson, Tamar via phone (407) 347-6387.

Contact Information

Primary practice address
160 Treemonte Dr Orange City FL 32763-7953
Fax: (888) 217-4124
Website:
Authorized official contact:
Name: Richardson, Tamar

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1174270037
LBN Legal business name Coastal Mental Health Center Inc
DBA Doing business as
Authorized official Richardson, Tamar
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2022
Last updated Jun 12th, 2024 - about 5 months 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 1174270037 NPPES
Florida MEDICAID 000959601

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