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Coastal Carolina Professional Counseling Services, PLLC

Community/Behavioral Health in Morehead City, NC. Organization (NPI-2).

NPI number1649938598
StatusActive
Last updated in NPPESNov 30, 2022

Details

NPI
1649938598
Entity type
Organization (NPI-2)
Legal business name
Coastal Carolina Professional Counseling Services, PLLC
Organization subpart
No
Enumeration date
Dec 7, 2021
Certification date
Nov 30, 2022
Last updated
Nov 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
101YM0800X Counselor, Mental Health––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

209 N 35th St Ste B3
Morehead City, NC 28557-3183

Phone 252-777-2016 · Fax 252-656-2624

Mailing address

Po Box 460
Newport, NC 28570-0460

Authorized official

Stephen Scott Radosevich
Owner
2527772016

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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