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Contact Information

COASTAL COUNSELING CENTER OF TIDEWATER
215 MCLAWS CIR STE 1
WILLIAMSBURG, VA23185-5799
 Phone: 757-345-6428
 Fax: 757-345-6808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for COASTAL COUNSELING CENTER OF TIDEWATER

NPI Number 1992208367
LBN Legal business name COASTAL COUNSELING CENTER OF TIDEWATER
Authorized official STACIA CHAPMAN-GOREY - (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2018
Last updated 03/13/2018 - About 8 years ago
Identifiers
VA License # 0904009449
VA Other 1194862813 INDIVIDUAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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