1. Home
  2. Directory
  3. Florida
  4. Clearwater
  5. Clinic Center
  6. NPI Profile

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: July 19, 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
Open in Google Maps ↗

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

Frequently Asked Questions

What is COASTAL TREATMENT CENTERS, LARGO's NPI number?

The NPI number assigned to this healthcare provider is 1609583673, enumerated as an "organization" on October 31, 2022.

Where is the provider located?

The provider is located at 2057 EDGEWATER DR CLEARWATER, FL 33755 and the phone number is (727) 205-7077.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).