| Coastal Counseling Center, Llc | |
|
302 Briarcliff Circle Savannah GA 31419 | |
| (912) 925-2504 | |
| (912) 925-6101 |
| Full Name | Coastal Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 302 Briarcliff Circle, Savannah, Georgia |
| Authorized Official Name and Position | Patricia A. English (CEO) |
| Authorized Official Contact | 9129252504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Counseling Center, Llc 302 Briarcliff Circle Savannah GA 31419 Ph: (912) 925-2504 | Coastal Counseling Center, Llc 302 Briarcliff Circle Savannah GA 31419 Ph: (912) 925-2504 |
| NPI Number | 1740512425 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740512425 | NPI | - | NPPES |
| 328-060-772A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 002835 (Georgia) | Primary |
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