COASTAL CAROLINA PSYCHIATRIC SERVICES PLLC
NPI 1598807430
Clinic/Center - Adult Mental Health in Wilson, NC

Q: What is Coastal Carolina Psychiatric Services PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since February 13, 2007

1708 LAKESIDE DR NW, WILSON, NC 27896(252) 265-9680(252) 265-9680 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Coastal Carolina Psychiatric Services Pllc NPPES

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

COASTAL CAROLINA PSYCHIATRIC SERVICES PLLC (NPI 1598807430) is a healthcare organization registered as an adult mental health in Wilson, North Carolina and active in the NPI registry since February 2007. The organization lists Bush Kavuru, Member-manager, as its authorized official.

NPPES Registry Identity

NPI1598807430

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameCOASTAL CAROLINA PSYCHIATRIC SERVICES PLLC

Location Address1708 LAKESIDE DR NWWilson, NC 27896-1800

Mailing Address1708 Lakeside Dr NwWilson, NC 27896-1800 · (252) 265-9680 · Fax (252) 265-9680

Phone(252) 265-9680

Fax(252) 265-9680

Organization SubpartNo

Authorized OfficialBush KavuruMember-manager · (252) 265-9680

Enumeration DateFebruary 13, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1598807430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

1708 LAKESIDE DR NW, Wilson, NC 27896

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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 Psychiatric Services PLLC's NPI number?

The NPI number for Coastal Carolina Psychiatric Services PLLC is 1598807430. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Coastal Carolina Psychiatric Services PLLC located?

Coastal Carolina Psychiatric Services PLLC is located at 1708 Lakeside Dr NW, Wilson, NC 27896. The listed phone number is (252) 265-9680.

What is Coastal Carolina Psychiatric Services PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Coastal Carolina Psychiatric Services PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.