| Coastal Therapeutic Services, Llc | |
|
16529 Coastal Hwy Red Mill Center Lewes DE 19958-3605 | |
| (302) 644-7788 | |
| (302) 644-6768 |
| Full Name | Coastal Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 16529 Coastal Hwy, Lewes, Delaware |
| Authorized Official Name and Position | Dawn R Hood (OWNER) |
| Authorized Official Contact | 3026447788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Therapeutic Services, Llc 16529 Coastal Hwy Red Mill Center Lewes DE 19958-3605 Ph: (302) 644-7788 | Coastal Therapeutic Services, Llc 16529 Coastal Hwy Red Mill Center Lewes DE 19958-3605 Ph: (302) 644-7788 |
| NPI Number | 1679630164 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 12/24/2008 |
| Medicare PECOS PAC ID | 0244392397 |
|---|---|
| Medicare Enrollment ID | O20081223000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679630164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Kim Roe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861566192 PECOS PAC ID: 7012079007 Enrollment ID: I20101203000769 |
| Provider Name | Theresa A Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982778288 PECOS PAC ID: 8921160912 Enrollment ID: I20101203000820 |
| Provider Name | Dawn R Hood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144393000 PECOS PAC ID: 6103988191 Enrollment ID: I20101203000874 |
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