| Coastal Counseling Center, Inc. | |
|
104 Lakeshore Dr Suite D Saint Marys GA 31558-3803 | |
| (912) 729-1120 | |
| (912) 729-1150 |
| Full Name | Coastal Counseling Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 104 Lakeshore Dr, Saint Marys, Georgia |
| Authorized Official Name and Position | Dale Blanton (DIRECTOR) |
| Authorized Official Contact | 9127291120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Counseling Center, Inc. 104 Lakeshore Dr Suite D Saint Marys GA 31558-3803 Ph: (912) 729-1120 | Coastal Counseling Center, Inc. 104 Lakeshore Dr Suite D Saint Marys GA 31558-3803 Ph: (912) 729-1120 |
| NPI Number | 1336318542 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 02/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336318542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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