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COASTAL HORIZONS CENTER INC. NPI 1003050634


NPI Information

NPI: 1003050634
Provider Name: COASTAL HORIZONS CENTER, INC.
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
615 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412
Phone: (910) 790-0187
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COASTAL HORIZONS CENTER, INC. is a prescribing (medical) psychologist in Wilmington, NC. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. COASTAL HORIZONS CENTER, INC. NPI is 1003050634. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

615 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412-431
Phone: (910) 790-0187
Fax: (910) 790-0189

The provider's authorized official is Margaret Weller Stargell .
The authorized official title is President & Ceo and has the following contact phone number (910) 790-0187.

The enumeration date for this NPI number is 4/27/2009 and was last updated on 7/20/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)MHL-065-011NORTH CAROLINANo
2103TP0016XPsychologistPrescribing (Medical)MHL-065-011NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15900561MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.