Coastal Connections Collective, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COASTAL CONNECTIONS COLLECTIVE, PLLC

Practice address

1426 Commonwealth Dr # B
Wilmington, NC 28403-0302

Phone

(910) 239-7244

NPI assigned

Mar 26, 2024

Last updated

Mar 26, 2024By 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

Courtney Elizabeth Clement Bowles, MAED, LCMHCA, NCCNPI 1275257909

Title

Psychotherapist

Phone

(732) 600-2582

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.

• Courtney Elizabeth Clement Bowles, LCMHC-A

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1275257909
  NPD Authorized official

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1851141212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 COMMONWEALTH DR # B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030302",
            "telephone_number": "910-239-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 COMMONWEALTH DR # B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030302",
            "telephone_number": "910-239-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CONNECTIONS COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "CLEMENT BOWLES",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "732-600-2582",
        "authorized_official_credential": "MAED, LCMHCA, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Childrens Services PLLC
• Coastal Childrens Services PLLC (CCS Wilmington)
• Coastal Childrens Services PLLC
• Coastal Chiropractic Center PA
• Coastal Community Care Services LLC
• Coastal Counseling Associates, PLLC
• Coastal Dermatology & Surgery Center, PA
• Coastal Enterprises of Wilmington
• Coastal Eyeworks Incorporated (Ogden Optical Center)
• Coastal Family Practice & Internal Medicine

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.