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COASTAL PSYCHIATRY LLC NPI 1407390610


NPI Information

NPI: 1407390610
Provider Name: COASTAL PSYCHIATRY, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1026 STANTON RD
STE. A
DAPHNE, AL
ZIP 36526
Phone: (251) 626-1182
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COASTAL PSYCHIATRY, LLC is an adult mental health clinic center in Daphne, AL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. COASTAL PSYCHIATRY, LLC NPI is 1407390610. The provider is registered as an organization entity type.

The provider's business location address is:

1026 STANTON RD
STE. A
DAPHNE, AL
ZIP 36526-299
Phone: (251) 626-1182

The provider's authorized official is Kathryn Ann Ney .
The authorized official title is Owner and has the following contact phone number (251) 626-1182.

The enumeration date for this NPI number is 12/6/2016 and was last updated on 12/6/2016.


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
1261QM0850XClinic/CenterAdult Mental Health24015ALABAMAYes
2261QM0855XClinic/CenterAdolescent and Children Mental Health24015ALABAMANo

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
1E45559MEDICARE UPINALABAMA

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

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