| Coastal Wellness, Llc | |
|
9929 Spid Dr Ste 113 Corpus Christi TX 78418-5164 | |
| (432) 889-5475 | |
| Not Available |
| Full Name | Coastal Wellness, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9929 Spid Dr Ste 113, Corpus Christi, Texas |
| Authorized Official Name and Position | Shana Hisaw (OWNER) |
| Authorized Official Contact | 4328895475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Wellness, Llc 9929 Spid Dr Ste 113 Corpus Christi TX 78418-5164 Ph: (432) 889-5475 | Coastal Wellness, Llc 9929 Spid Dr Ste 113 Corpus Christi TX 78418-5164 Ph: (432) 889-5475 |
| NPI Number | 1447684097 |
|---|---|
| Provider Enumeration Date | 08/29/2013 |
| Last Update Date | 08/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447684097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 801800621 (Texas) | Primary |
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