Coastal Wellness LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

COASTAL WELLNESS LLC

Practice address

2149 W 1St St Unit 241
Gulf Shores, AL 36547-8412

Phone

(251) 597-0417

NPI assigned

Feb 23, 2024

Organization subpart

No

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

Authorized official

Name

Raschelle Riley-EatonNPI 1669014387

Title

Therapist/Owner

Phone

(251) 597-0417

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, and the practitioner matching its NPPES authorized official.

• Raschelle Arlene Riley-Eaton

  • Professional Counselor
  • Gulf Shores, AL
  • NPI 1669014387
  NPD Authorized official

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1497511828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8196 CARMEL CIR",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365356935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 W 1ST ST UNIT 241",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365478412",
            "telephone_number": "251-597-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "RILEY-EATON",
        "authorized_official_first_name": "RASCHELLE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "251-597-0417"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madison Eleanor Cookston, OTD,OTR/L
• Lyle Cooper, DC
• Lyle Keith Cooper II, LPC
• Summer Costigan
• Counseling Centre, LLC

• Adult Mental Health Clinic/Center in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Adult Mental Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.