Coastal Family Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COASTAL FAMILY SERVICES, PLLC

Practice address

1100 S Clinton Ave Ste C
Dunn, NC 28334-6325

Phone

(910) 891-1222

Fax

(910) 891-1333

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Eric Antoine Williams, MS, LPC, NCC

Title

Ceo

Phone

(910) 891-1222

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Coastal Family Services PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Family Services, PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1366679896
  NPD tax ID

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1134308349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283350068",
            "telephone_number": "910-891-1222",
            "fax_number": "910-891-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S CLINTON AVE STE C",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283346325",
            "telephone_number": "910-891-1222",
            "fax_number": "910-891-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ANTOINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-891-1222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006431",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy L Christensen, PA C
• Geneva Nicole Christopher, RN
• Becky Clark, MSW, LCSW
• Brittany Nicole Clark, OTR/L
• Caroline Cleveland Allen, DPT
• Molly Coffey, OTR/L
• Coleridge Care Group
• Mary Beth Collins, NCLMBT #9264
• Winter Collins, RN
• Janet Maria Colon

• Community/Behavioral Health Agency in Dunn, NC
• Providers in Dunn, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.