COASTAL CAROLINA BEHAVIORAL HEALTHCARE LLC - NPI 1184990863 - Community/Behavioral Health in Whiteville, NC

Q: What is Coastal Carolina Behavioral Healthcare LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Coastal Carolina Behavioral Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL CAROLINA BEHAVIORAL HEALTHCARE LLC (NPI 1184990863) is a healthcare organization registered as a community/behavioral health in Whiteville, North Carolina and active in the NPI registry since March 2012. The organization lists Jonathan Andrew Traylor, President, as its authorized official.

NPPES Registry Identity

NPI1184990863

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOASTAL CAROLINA BEHAVIORAL HEALTHCARE LLC

Location Address603 S MADISON STWhiteville, NC 28472-4129

Mailing Address603 S Madison StWhiteville, NC 28472-4129 · (910) 640-3535 · Fax (910) 640-3538

Phone(910) 640-3535

Fax(910) 640-3538

Organization SubpartNo

Authorized OfficialJonathan Andrew TraylorPresident · (910) 640-3535

Enumeration DateMarch 28, 2012

Last NPPES UpdateJanuary 6, 2014

✔ NPI 1184990863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

603 S MADISON ST, Whiteville, NC 28472

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Other Identifiers 7

Medicaid3410191NC

Medicaid8301226BNC

Medicaid8301226NC

Medicaid6604437NC

Medicaid8301226HNC

Medicaid8301226VNC

Medicaid6008752NC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY FISHER MURRAY

Social Worker (Clinical)

603 S MADISON ST
WHITEVILLE, NC 28472

Columbus County (253) 226-6418

LENZY O'DELL GRAHAM M.A. LPC-A

Counselor (Mental Health)

603 S MADISON ST
WHITEVILLE, NC 28472

Columbus County (910) 640-3538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Carolina Behavioral Healthcare LLC's NPI number?

The NPI number for Coastal Carolina Behavioral Healthcare LLC is 1184990863. It was assigned to this organization in the NPPES registry on March 28, 2012.

Where is Coastal Carolina Behavioral Healthcare LLC located?

Coastal Carolina Behavioral Healthcare LLC is located at 603 S Madison St, Whiteville, NC 28472. The listed phone number is (910) 640-3535.

What is Coastal Carolina Behavioral Healthcare LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Coastal Carolina Behavioral Healthcare LLC was last updated on January 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.