Coastline Clinic PLLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

COASTLINE CLINIC PLLC

Practice address

101B Villa Drive
Suite 226
Daphne, AL 36526

Phone

(251) 615-0000

NPI assigned

May 11, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Marcus Hamilton Lackey, MDNPI 1326743030

Title

Founder

Phone

(251) 615-0000

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcus Lackey, MD

  • Psychiatry Physician
  • Daphne, AL
  • NPI 1326743030
  NPD Authorized official

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1942138839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101B VILLA DRIVE",
            "address_2": "SUITE 226",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "36526",
            "telephone_number": "251-615-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101B VILLA DRIVE",
            "address_2": "SUITE 226",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "36526",
            "telephone_number": "251-615-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "251-615-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Counseling & Consulting, LLC
• Coastal Counseling and Consulting, LLC
• Coastal Foot Center LLC
• Coastal Psychiatry, LLC
• Coastal Therapeutics, Inc (Coastal Therapeutics)
• Coastview PLLC
• Amanda Janette Cobb, O.D.
• Katherine Cobb
• Kathryn S Coffman, LPC, NCC
• Josh Randall Coleman, PHARMD

• Substance Use Disorder Rehabilitation Clinic/Center in Daphne, AL
• Providers in Daphne, AL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.