COASTAL CAROLINA COUNSELING CENTER PA NPI 1649650318

NPI Information

NPI: 1649650318
Provider Name: COASTAL CAROLINA COUNSELING CENTER PA
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
992 COPPERFIELD BLVD NE
CONCORD, NC
ZIP 28025
Phone: (704) 806-3638
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COASTAL CAROLINA COUNSELING CENTER PA is an addiction (substance use disorder) counselor in Concord, NC. COASTAL CAROLINA COUNSELING CENTER PA NPI is 1649650318. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

992 COPPERFIELD BLVD NE
CONCORD, NC
ZIP 28025-433
Phone: (704) 806-3638

The provider's authorized official is Francesca Paladino .
The authorized official title is Ceo/ Counselor and has the following contact phone number (704) 806-3638.

The enumeration date for this NPI number is 6/8/2015 and was last updated on 12/5/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		5496	NORTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1383	NORTH CAROLINA	Yes
3	101YM0800X	Counselor	Mental Health	5496	NORTH CAROLINA	No
4	101YP2500X	Counselor	Professional	5496	NORTH CAROLINA	No
5	101YS0200X	Counselor	School	5496	NORTH CAROLINA	No

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
1	6006421	MEDICAID	NORTH CAROLINA
2	6103865	MEDICAID	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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