Coastal Haven LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COASTAL HAVEN LLC

Practice address

8 Gurnet Road
Suite 7, 1033
Brunswick, ME 04011

Phone

(508) 306-1179

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Sherie Daigle, LCSWNPI 1386217651

Title

Owner

Phone

(508) 306-1179

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sherie Daigle

  • Clinical Social Worker
  • South Portland, ME
  • NPI 1386217651
  NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1154166759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GURNET ROAD",
            "address_2": "SUITE 7, 1033",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "508-306-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GURNET ROAD",
            "address_2": "SUITE 7, 1033",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "508-306-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "SHERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-306-1179",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cari Ann Clark, MS, OTR/L
• Elizabeth S. Clark
• Lisa Lynn Clark, MS, OTR/L
• Karri E Clohosey, LMSW-CC
• Coastal Anesthesiology Medical Group, PA
• Coastal Hearing Services, LLC
• Coastal Maine Pediatric Dentistry
• Coastal Mental Health, PLLC
• Coastal Orthopedics & Sports Medicine
• Coastal Orthopedics & Sports Medicine,P.a.

• Mental Health Counselor in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.