Coastal Counseling Center, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

002835 Issued in GA

Legal business name

COASTAL COUNSELING CENTER, LLC

Practice address

302 Briarcliff Circle
Savannah, GA 31419

Phone

(912) 925-2504

Fax

(912) 925-6101

NPI assigned

Feb 5, 2010

Last updated

Jul 9, 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

Dr. Patricia A. English, PHD, LPC

Title

Ceo

Phone

(912) 925-2504

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Coastal Counseling Center LLC2 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 Counseling LLC

  • Counselor
  • Savannah, GA
  • NPI 1891934576
  NPD tax ID

Locations

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1740512425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BRIARCLIFF CIRCLE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-925-2504",
            "fax_number": "912-925-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BRIARCLIFF CIRCLE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-925-2504",
            "fax_number": "912-925-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-925-2504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "002835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328-060-772A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Chiropractic Clinic Inc
• Coastal Community Health Services, Inc. (Coastal Community Health)
• Coastal Community Health Services, Inc. (Coastal Community Pharmacy #103)
• Coastal Community Health Services, Inc. (Coastal Community Health)
• Coastal Concierge Counseling, LLC
• Coastal Counseling LLC
• Coastal Dermatology
• Coastal Ear Nose & Throat, LLC (Coastal Ear Nose & Throat)
• Coastal Ear Nose & Throat, LLC
• Coastal Empire Chiropractic Inc (Bright Life Chiropractic)

• Counselor in Savannah, GA
• Providers in Savannah, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.