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Contact Information

COASTAL COUNSELING AND THERAPY LLC
304 WILLIAMS AVE
PORT SAINT JOE, FL32456-1846
 Phone: 850-250-2579
 Fax: 813-262-0999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for COASTAL COUNSELING AND THERAPY LLC · (Female)

NPI Number 1245688720
Status Active
Credentials
Entity Individual
Enumeration date 05/25/2016
Last updated 09/16/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 13932
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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