Organization Active NPI

Coastal Counseling and Consulting, LLC

  • Clinical Social Worker
  • Daphne, AL
National Provider Identifier
1497919534
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1105C Issued in AL
Legal business name
COASTAL COUNSELING AND CONSULTING, LLC
Practice address
6451 Merritt Blvd
Suite D
Daphne, AL 36526-4827
Phone
(251) 490-8186
Fax
(251) 625-8719
NPI assigned
Jul 17, 2008
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Miss Pamela Rawdon, LCSWNPI 1750338703
Title
Owner
Phone
(251) 490-8186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1105C AL Primary

Addresses

Primary practice location

6451 Merritt Blvd
Suite D
Daphne, AL 36526-4827

Mailing address

PO Box 7627
Mobile, AL 36670-0627
Phone (251) 633-7211

National Provider Directory

National Provider Directory

Locations

29000 US Highway 98
Ste A305
Daphne, AL 36526
Phone (251) 626-5797

6451 Merritt Blvd
#D
Daphne, AL 36526
Phone (251) 490-8186

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1497919534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7627",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366700627",
            "telephone_number": "251-633-7211",
            "fax_number": "251-410-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 MERRITT BLVD",
            "address_2": "SUITE D",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264827",
            "telephone_number": "251-490-8186",
            "fax_number": "251-625-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "RAWDON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-490-8186",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1105C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.