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COASTLINE MENTAL HEALTH LLC
NPI 1811729015
Nurse Practitioner - Psychiatric/Mental Health in Niceville, FL

Active since August 15, 2024
1723 PINE AVE, NICEVILLE, FL 32578(850) 368-4670 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastline Mental Health Llc NPPES

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

COASTLINE MENTAL HEALTH LLC (NPI 1811729015) is a healthcare organization registered as a psychiatric/mental health in Niceville, Florida and active in the NPI registry since August 2024. The organization lists Brian Wade Pullam, Owner, as its authorized official.

NPPES Registry Identity

NPI1811729015
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOASTLINE MENTAL HEALTH LLC
Location Address1723 PINE AVENiceville, FL 32578-4600
Mailing Address1723 Pine AveNiceville, FL 32578-4600 · (850) 368-4670
Phone(850) 368-4670
Organization SubpartNo
Authorized OfficialBrian Wade PullamOwner · (850) 368-4670
Enumeration DateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1811729015 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
1723 PINE AVE, Niceville, FL 32578
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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 Coastline Mental Health LLC's NPI number?

The NPI number for Coastline Mental Health LLC is 1811729015. It was assigned to this organization in the NPPES registry on August 15, 2024.

Where is Coastline Mental Health LLC located?

Coastline Mental Health LLC is located at 1723 Pine Ave, Niceville, FL 32578. The listed phone number is (850) 368-4670.

What is Coastline Mental 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 Coastline Mental Health LLC was last updated on August 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.