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 801 Beville Rd Ste 202A , South Daytona FL 32119-1862. 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 (407) 347-6387, or through Richardson, Tamar via phone (407) 347-6387.

Contact Information

Primary practice address
801 Beville Rd Ste 202A South Daytona FL 32119-1862
Phone: (407) 347-6387
Fax: (888) 217-4124
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Tamar
Phone: (407) 347-6387

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1194472977
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 2nd, 2022
Last updated Mar 2nd, 2022 - about 3 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 1194472977 NPPES
Florida Other 9391 EXEMPTION
Florida MEDICAID 000959609 EXEMPTION

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