Coastal Southeastern United Care

LBN: Broadstep Behavioral Health
Coastal Southeastern United Care is an health care organization with primary practice located at 10 Doctors Circle Suite 6, Supply NC 28462. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Agencies / Case Management, Agencies / Community/Behavioral Health, Laboratories / Clinical Medical Laboratory. Agencies / Community/Behavioral Health is the primary health care specialty. Broadstep Behavioral Health can be contacted via phone (910) 755-5222, or through Atkinson, Shannon Ashley via phone (843) 806-2695.

Contact Information

Primary practice address
10 Doctors Circle Suite 6 Supply NC 28462
Phone: (910) 755-5222
Fax: (910) 755-5255
Website:
Map and Directions
Authorized official contact:
Name: Atkinson, Shannon Ashley Licensed Clinical Social Worker (LCSW)
Phone: (843) 806-2695

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1346477403
LBN Legal business name Broadstep Behavioral Health
DBA Doing business as Coastal Southeastern United Care
Authorized official Atkinson, Shannon Ashley Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2009
Last updated Sep 27th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346477403 NPPES
North Carolina MEDICAID 8302940
North Carolina MEDICAID 8302940B
North Carolina MEDICAID 8302940H
North Carolina Other B913
North Carolina MEDICAID 8302940G

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