COASTAL TRANQUILITY BEHAVIORAL HEALTH LLC
NPI 1205609807
Nurse Practitioner - Psychiatric/Mental Health in Virginia Beach, VA

Q: What is Coastal Tranquility Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 06, 2023

925 OLD HOMESTEAD LN, VIRGINIA BEACH, VA 23464(757) 752-8682(757) 432-3269 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2024, Nov 6, 2023 (2 updates tracked since 2023).

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About Coastal Tranquility Behavioral Health Llc NPPES

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

COASTAL TRANQUILITY BEHAVIORAL HEALTH LLC (NPI 1205609807) is a healthcare organization registered as a psychiatric/mental health in Virginia Beach, Virginia and active in the NPI registry since November 2023. The organization lists Jennifer Bainum, Owner, as its authorized official.

NPPES Registry Identity

NPI1205609807

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCOASTAL TRANQUILITY BEHAVIORAL HEALTH LLC

Location Address925 OLD HOMESTEAD LNVirginia Beach, VA 23464-4013

Mailing Address110 Coliseum Xing # 5353Hampton, VA 23666-5971 · (757) 752-8682 · Fax (757) 432-3269

Phone(757) 752-8682

Fax(757) 432-3269

Organization SubpartNo

Authorized OfficialJennifer BainumOwner · (619) 417-0654

Enumeration DateNovember 6, 2023

Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2024

✔ NPI 1205609807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

925 OLD HOMESTEAD LN, Virginia Beach, VA 23464

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tranquility Behavioral Health LLC's NPI number?

The NPI number for Coastal Tranquility Behavioral Health LLC is 1205609807. It was assigned to this organization in the NPPES registry on November 6, 2023.

Where is Coastal Tranquility Behavioral Health LLC located?

Coastal Tranquility Behavioral Health LLC is located at 925 Old Homestead Ln, Virginia Beach, VA 23464. The listed phone number is (757) 752-8682.

What is Coastal Tranquility Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Coastal Tranquility Behavioral Health LLC was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.