Coastal Behavioral Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC15872 Issued in ME

Legal business name

COASTAL BEHAVIORAL HEALTH, LLC

Practice address

175 Lancaster St Ste 218a
Portland, ME 04101-2451

Phone

(203) 671-3788

NPI assigned

Jun 15, 2018

Last updated

Jun 15, 2018By 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. Paul Grazia, LCSW

Title

Co-Owner

Phone

(203) 671-3788

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1396239208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LANCASTER ST STE 218A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012451",
            "telephone_number": "203-671-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LANCASTER ST STE 218A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012451",
            "telephone_number": "203-671-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "GRAZIA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "203-671-3788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "LC15872",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "LC15872",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ME",
            "license": "LC15872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Cloutier, SLP
• Jessica L Cloutier, LMSW-CC
• Joann Cloutier
• Paula Cluney, ND
• Susan Coan, LCPC
• Coastal Care LLC
• Coastal Maine Counseling LLC
• Coastal Pharmacy LLC (Coastal Pharmacy & Wellness)
• Gillian Coates, MD
• Roy A Cobean, MD

• Community/Behavioral Health Agency in Portland, ME
• Providers in Portland, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.