Coastal Mental Health Center INC
Community/Behavioral Health in Daytona Beach, FL. Organization (NPI-2).
NPI number1194472977
StatusActive
Last updated in NPPESJul 4, 2025
Details
- NPI
- 1194472977
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Mental Health Center INC
- Organization subpart
- No
- Enumeration date
- Mar 2, 2022
- Certification date
- Jul 4, 2025
- Last updated
- Jul 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
149 S Ridgewood Ave Ste 310Daytona Beach, FL 32114-4335
Phone 800-614-4124
Mailing address
665 W Warren AveLongwood, FL 32750-4004
Phone 407-347-6387 · Fax 888-217-4124
Authorized official
Tamar Richardson
Director
4073476387
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