Coastal Carolina Psychiatric Services Pllc

LBN: Coastal Carolina Psychiatric Services Pllc
Coastal Carolina Psychiatric Services Pllc is an health care organization with primary practice located at 1708 Lakeside Dr Nw , Wilson NC 27896-1800. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Coastal Carolina Psychiatric Services Pllc can be contacted via phone (252) 265-9680, or through Kavuru, Bush via phone (252) 265-9680.

Contact Information

Primary practice address
1708 Lakeside Dr Nw Wilson NC 27896-1800
Phone: (252) 265-9680
Fax: (252) 265-9680
Website:
Map and Directions
Authorized official contact:
Name: Kavuru, Bush Doctor of Medicine (MD)
Phone: (252) 265-9680

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1598807430
LBN Legal business name Coastal Carolina Psychiatric Services Pllc
DBA Doing business as
Authorized official Kavuru, Bush Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 22nd, 2020 - about 6 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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