| Coastal Wellness Llc | |
|
2149 W 1st St Unit 241 Gulf Shores AL 36547-8412 | |
| (251) 597-0417 | |
| Not Available |
| Full Name | Coastal Wellness Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2149 W 1st St Unit 241, Gulf Shores, Alabama |
| Authorized Official Name and Position | Raschelle Riley-eaton (THERAPIST/OWNER) |
| Authorized Official Contact | 2515970417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Wellness Llc 8196 Carmel Cir Foley AL 36535-6935 Ph: () - | Coastal Wellness Llc 2149 W 1st St Unit 241 Gulf Shores AL 36547-8412 Ph: (251) 597-0417 |
| NPI Number | 1497511828 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497511828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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