| Coastal Life Counseling, Llc | |
|
33271 River Rd Orange Beach AL 36561-5725 | |
| (251) 979-6060 | |
| (251) 355-1044 |
| Full Name | Coastal Life Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 33271 River Rd, Orange Beach, Alabama |
| Authorized Official Name and Position | Charlene Whetstone (OWNER, COUNSELOR, SINGLE MEMBER) |
| Authorized Official Contact | 2519796060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Life Counseling, Llc 33271 River Rd Orange Beach AL 36561-5725 Ph: (251) 979-6060 | Coastal Life Counseling, Llc 33271 River Rd Orange Beach AL 36561-5725 Ph: (251) 979-6060 |
| NPI Number | 1265214175 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 7012365844 |
|---|---|
| Medicare Enrollment ID | O20231204003079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265214175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Charlene Kay Whetstone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831527027 PECOS PAC ID: 8921456757 Enrollment ID: I20240111002935 |
Blu Haven Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26972 Spyglass Dr, Orange Beach, AL 36561 Phone: 256-627-3246 |