Coastal Family Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003091 Issued in GA

Legal business name

COASTAL FAMILY COUNSELING, LLC

Practice address

150 Butler Ave Ste D-3
Midway Mini Mall
Midway, GA 31320-4575

Phone

(912) 442-0558

NPI assigned

Nov 2, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Josephine Coleman, LCSWNPI 1669540548

Title

Owner/Therapist

Phone

(912) 442-0558

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josephine C Coleman, LCSW, MAC

  • Clinical Social Worker
  • Midway, GA
  • NPI 1669540548

  Clinical, GA

  Medicare reassignment NPD Authorized official
• Helene M Taulbee, AMFT

  • Counselor
  • Midway, GA
  • NPI 1568057446
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1013346816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 OAK ISLAND DR",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313206923",
            "telephone_number": "912-442-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BUTLER AVE STE D-3",
            "address_2": "MIDWAY MINI MALL",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313204575",
            "telephone_number": "912-442-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "912-442-0558",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chet Edward Bundy, RDH
• Chaplain Ministries International Corp
• Renee Arnette Charlton Brown
• Coastal Drug Company LLC
• Coastal Drug Company, LLC.
• Coastal Healthcare LLC
• Josephine C Coleman, LCSW, MAC
• Julia E Coleman
• Charity I Floyd, BCBA
• Theron Glenn Fox Jr.

• All providers in Midway, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.