COASTAL PSYCHOLOGICAL GROUP, LLC
NPI 1487257853
Counselor - Mental Health in Valrico, FL

Active since November 18, 2020
3005 LITHIA PINECREST RD, VALRICO, FL 33596(516) 315-9771 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Coastal Psychological Group, Llc NPPES

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

COASTAL PSYCHOLOGICAL GROUP, LLC (NPI 1487257853) is a healthcare organization registered as a mental health in Valrico, Florida and active in the NPI registry since November 2020. The organization lists Amanda Bauer-manzella, Owner, as its authorized official.

NPPES Registry Identity

NPI1487257853
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOASTAL PSYCHOLOGICAL GROUP, LLC
Location Address3005 LITHIA PINECREST RDValrico, FL 33596-5630
Mailing Address3005 Lithia Pinecrest RdValrico, FL 33596-5630 · (516) 315-9771
Organization SubpartNo
Authorized OfficialAmanda Bauer-manzellaOwner · (516) 315-9771
Enumeration DateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
NPI 1487257853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3005 LITHIA PINECREST RD, Valrico, FL 33596

Other Identifiers 1

Other1437752953FL · 1437752953

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

Other Providers at the Same Location NPPES 13

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

Psychologist
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Social Worker (Clinical)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Counselor (Mental Health)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Psychologist (Clinical Child & Adolescent)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Psychologist (Clinical)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Psychologist (Clinical Child & Adolescent)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Psychologist (Clinical)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Community/Behavioral Health
3005 LITHIA PINECREST RD
VALRICO, FL 33596

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 Psychological Group, LLC's NPI number?

The NPI number for Coastal Psychological Group, LLC is 1487257853. It was assigned to this organization in the NPPES registry on November 18, 2020.

Where is Coastal Psychological Group, LLC located?

Coastal Psychological Group, LLC is located at 3005 Lithia Pinecrest Rd, Valrico, FL 33596. The listed phone number is (516) 315-9771.

What is Coastal Psychological Group, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Coastal Psychological Group, LLC was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.