| Coastal Psychotherapy And Consulting Inc. | |
|
10 Pinckney Colony Rd Executive Center Suite 315 Bluffton SC 29909-4126 | |
| (843) 298-4637 | |
| (877) 248-2314 |
| Full Name | Coastal Psychotherapy And Consulting Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 10 Pinckney Colony Rd, Bluffton, South Carolina |
| Authorized Official Name and Position | Krista Delgado (OWNER) |
| Authorized Official Contact | 8432984637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Psychotherapy And Consulting Inc. 10 Pinckney Colony Rd Executive Center Suite 315 Bluffton SC 29909-4126 Ph: (843) 298-4637 | Coastal Psychotherapy And Consulting Inc. 10 Pinckney Colony Rd Executive Center Suite 315 Bluffton SC 29909-4126 Ph: (843) 298-4637 |
| NPI Number | 1457678328 |
|---|---|
| Provider Enumeration Date | 04/30/2010 |
| Last Update Date | 04/30/2010 |
| Medicare PECOS PAC ID | 2860670486 |
|---|---|
| Medicare Enrollment ID | O20110630000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457678328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6760 (South Carolina) | Primary |
| Provider Name | Krista Delgado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427276377 PECOS PAC ID: 3375691009 Enrollment ID: I20090506000297 |
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