COASTAL THERAPY ASSOCIATES LLC NPI 1790277689

NPI Information

  • NPI: 1790277689
  • Provider Name: COASTAL THERAPY ASSOCIATES LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 3050 W HIGHWAY 98 UNIT B7
    PORT ST JOE, FL
    ZIP 32456
  • Phone: (850) 209-5935

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NPI Details

COASTAL THERAPY ASSOCIATES LLC is a psychiatric/mental health nurse practitioner in Port St Joe, FL. COASTAL THERAPY ASSOCIATES LLC NPI is 1790277689. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3050 W HIGHWAY 98 UNIT B7
PORT ST JOE, FL
ZIP 32456-718
Phone: (850) 209-5935

The provider's authorized official is Kathryn Mae Land .
The authorized official title is Partner and has the following contact phone number (850) 209-5935.

The enumeration date for this NPI number is 6/5/2018 and was last updated on 3/3/2021.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health2801262FLORIDAYes

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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