Coastline Behavioral Health
LBN: Coastline Behavioral Health
Coastline Behavioral Health is an health care organization with primary practice located at 2102 Business Center Dr # 121 , Irvine CA 92612-1001. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Coastline Behavioral Health can be contacted via phone (949) 300-1657, or through Priesing, Mike via phone (949) 300-1657.
Contact Information
Primary practice address
2102 Business Center Dr # 121
Irvine CA 92612-1001
Phone: (949) 300-1657
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 300630AP | California |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 300630AP | California |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 300630AP | California |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 300630AP | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 300630AP | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 14445 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 14445 | California |
Profile Details
| NPI number | 1407216906 |
|---|---|
| LBN Legal business name | Coastline Behavioral Health |
| DBA Doing business as | |
| Authorized official | Priesing, Mike MHW CATC |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 26th, 2016 |
| Last updated | Feb 26th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407216906 | NPPES |
| California | Other | 300630AP | DEPARTMENT OF HEALTHCARE SERVICES |
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