Coastal Family Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1295 Issued in NC

Legal business name

COASTAL FAMILY SERVICES, PLLC

Practice address

5135 Morganton Rd
Ste 201
Fayetteville, NC 28314-1525

Phone

(910) 364-9709

Fax

(877) 604-9199

NPI assigned

Jun 11, 2009

Last updated

May 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric A. Williams, MS, LMFT, LPC, NCCNPI 1396924502

Title

Ceo

Phone

(910) 364-9709

Specialties & licenses 2

Addresses

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
  • Dunn, NC
  • NPI 1134308349
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Antoine Williams, LPCS, LMFT, BCC

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1396924502
  NPD (past) Authorized official

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1366679896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27620",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145043",
            "telephone_number": "910-364-9709",
            "fax_number": "877-604-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 MORGANTON RD",
            "address_2": "STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141525",
            "telephone_number": "910-364-9709",
            "fax_number": "877-604-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-364-9709",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LMFT, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6948",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Michelle Clymer, DPT
• Rashanda Coachman
• Coast to Coast Bilingual Counseling
• Coastal Behavior Health Services, Inc.
• Coastal Carolina Behavioral Healthcare, LLC (Circle of Courage Behavioral Healthcare)
• Coastal Horizons Center Inc
• Rebecca M Coates, ABC -CO
• Heather McPhail Coaxum, NP
• Janine L'Nette Coaxum
• Meta A. Weaver Coaxum, MSW

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, 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 May 7, 2013; 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.