| Coastal Family Services, Pllc | |
|
5135 Morganton Rd Ste 201 Fayetteville NC 28314-1525 | |
| (910) 364-9709 | |
| (877) 604-9199 |
| Full Name | Coastal Family Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5135 Morganton Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Eric A. Williams (CEO) |
| Authorized Official Contact | 9103649709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Services, Pllc Po Box 27620 Fayetteville NC 28314-5043 Ph: (910) 364-9709 | Coastal Family Services, Pllc 5135 Morganton Rd Ste 201 Fayetteville NC 28314-1525 Ph: (910) 364-9709 |
| NPI Number | 1366679896 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366679896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6948 (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | 1295 (North Carolina) | Primary |
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