| Coastal Therapy Group | |
|
167 Bluffton Rd Ste I Bluffton SC 29910-6250 | |
| (908) 295-4855 | |
| Not Available |
| Full Name | Coastal Therapy Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 167 Bluffton Rd Ste I, Bluffton, South Carolina |
| Authorized Official Name and Position | Jaclyn Mathisen (OWNER) |
| Authorized Official Contact | 9082954855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Therapy Group 25 Deerfield Rd Hilton Head Island SC 29926-1935 Ph: () - | Coastal Therapy Group 167 Bluffton Rd Ste I Bluffton SC 29910-6250 Ph: (908) 295-4855 |
| NPI Number | 1245013648 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245013648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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