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COASTAL TREATMENT CENTERS, LARGO
NPI 1609583673
Clinic/Center - Mental Health (Including Community Mental Health Center) in Clearwater, FL

Active since October 31, 2022
2057 EDGEWATER DR, CLEARWATER, FL 33755(727) 205-7077 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Coastal Treatment Centers, Largo NPPES

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

COASTAL TREATMENT CENTERS, LARGO (NPI 1609583673), doing business as The Wave Of Edgewater, is a healthcare organization registered as a mental health (including community mental health center) in Clearwater, Florida and active in the NPI registry since October 2022. The organization lists Andre Genao, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1609583673
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOASTAL TREATMENT CENTERS, LARGO
Location Address2057 EDGEWATER DRClearwater, FL 33755-1028
Mailing Address28059 Us Highway 19 N Ste 205Clearwater, FL 33761-2620
Phone(727) 205-7077
Organization SubpartNo
Authorized OfficialAndre GenaoChief Compliance Officer · (352) 442-2643
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 31, 2022
✔ NPI 1609583673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
2057 EDGEWATER DR, Clearwater, FL 33755
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Other Names 1

Doing Business AsThe Wave Of Edgewater

Other Providers at the Same Location NPPES 4

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

SMITH HEALTH CARE PROPERTIES - CLEARWATER
Assisted Living Facility
2057 EDGEWATER DR
CLEARWATER, FL 33755
Pinellas County (727) 216-6517
NATASHA STACY LINDO M.A
Counselor (Mental Health)
2057 EDGEWATER DR
CLEARWATER, FL 33755
Pinellas County (727) 330-6588
LEAH MARIE RATCLIFF RCSWI
Social Worker (Clinical)
2057 EDGEWATER DR
CLEARWATER, FL 33755
Pinellas County (727) 330-6588
BA LAND, LLC
Assisted Living Facility
2057 EDGEWATER DR
CLEARWATER, FL 33755
Pinellas County (727) 216-6517

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 Treatment Centers, Largo's NPI number?

The NPI number for Coastal Treatment Centers, Largo is 1609583673. It was assigned to this organization in the NPPES registry on October 31, 2022. The provider is doing business as The Wave of Edgewater.

Where is Coastal Treatment Centers, Largo located?

Coastal Treatment Centers, Largo is located at 2057 Edgewater Dr, Clearwater, FL 33755. The listed phone number is (727) 205-7077.

What is Coastal Treatment Centers, Largo's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Coastal Treatment Centers, Largo was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.