Coastal Behavioral Health, Llc
LBN: Coastal Behavioral Health, Llc
Coastal Behavioral Health, Llc is an health care organization with primary practice located at 175 Lancaster St Ste 218A , Portland ME 04101-2451. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty.
Coastal Behavioral Health, Llc can be contacted via phone (203) 671-3788, or through Grazia, Paul via phone (203) 671-3788.
Contact Information
Primary practice address
175 Lancaster St Ste 218A
Portland ME 04101-2451
Phone: (203) 671-3788
Fax:
Website:
Authorized official contact:
Name: Grazia, Paul Licensed Clinical Social Worker (LCSW)
Phone: (203) 671-3788
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | LC15872 | Maine |
| Agencies / Community/Behavioral Health | 251S00000X | LC15872 | Maine |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | LC15872 | Maine |
Profile Details
| NPI number | 1396239208 |
|---|---|
| LBN Legal business name | Coastal Behavioral Health, Llc |
| DBA Doing business as | |
| Authorized official | Grazia, Paul Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2018 |
| Last updated | Jun 15th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396239208 | NPPES |
| Maine | MEDICAID | 1669850376 | |
| Maine | MEDICAID | 1992162390 |
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