Coastal Therapeutic Effect, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COASTAL THERAPEUTIC EFFECT, LLC

Practice address

9390 Ford Ave Ste 3
Richmond Hill, GA 31324-6418

Phone

(912) 596-0773

NPI assigned

May 2, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy Sue Cobernus-Newell, LPC

Title

Owner

Phone

(912) 596-0773

Specialties & licenses 1

Addresses

Other names 1

• Coastal Therapeutic Effect Former legal business name

Practitioners 1

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

• Wendy Newell

  • Marriage & Family Therapist
  • Savannah, GA
  • NPI 1598993255
  NPD

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1982451407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 FORD AVE STE 3",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246418",
            "telephone_number": "912-596-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 FORD AVE STE 3",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246418",
            "telephone_number": "912-596-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL THERAPEUTIC EFFECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "COBERNUS-NEWELL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-596-0773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Therapeutic Effect",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kinsley M Clements, RBT
• Coastal Chiropractic and Family Wellness
• Coastal Community Health Services, Inc.
• Coastal Pediatric Dentistry LLC
• Coastal Primary Care, LLC
• Donald Keith Cobb, MD
• Jaquan Cody
• Kari Amanda Collins
• Karl Jonathan Collins
• Pamela Beth Collman, PHD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.