COASTAL SOUTHEASTERN UNITED CARE LLC NPI 1346477403

NPI Information

  • NPI: 1346477403
  • Provider Name: COASTAL SOUTHEASTERN UNITED CARE LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: COASTAL SOUTHEASTERN UNITED CARE
  • Address: 10 DOCTORS CIRCLE
    SUITE 6
    SUPPLY, NC
    ZIP 28462
  • Phone: (910) 755-5222

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NPI Details

COASTAL SOUTHEASTERN UNITED CARE LLC is a community behavioral health in Supply, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COASTAL SOUTHEASTERN UNITED CARE LLC NPI is 1346477403. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coastal Southeastern United Care.

The provider's business location address is:

10 DOCTORS CIRCLE
SUITE 6
SUPPLY, NC
ZIP 28462
Phone: (910) 755-5222
Fax: (910) 755-5255

The provider's authorized official is Shannon Ashley Atkinson .
The authorized official title is Vp, Home And Community Services and has the following contact phone number (843) 806-2695.

The enumeration date for this NPI number is 6/16/2009 and was last updated on 8/16/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2103T00000XPsychologistNo
3251B00000XCase ManagementNo
4251S00000XCommunity/Behavioral HealthYes
5291U00000XClinical Medical LaboratoryNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18302940MEDICAIDNORTH CAROLINA
2B913OTHERNORTH CAROLINAMEDICARE
38302940BMEDICAIDNORTH CAROLINA
48302940HMEDICAIDNORTH CAROLINA
58302940GMEDICAIDNORTH 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: 3/30/2025

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