Coastal Community Counseling Services Llc

LBN: Coastal Community Counseling Services Llc
Coastal Community Counseling Services Llc is an health care organization with primary practice located at 268 Pelican Rd , Middletown NJ 07748-3040. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Coastal Community Counseling Services Llc can be contacted via phone (732) 610-8396, or through Illmensee, Kellie via phone (732) 610-8396.

Contact Information

Primary practice address
268 Pelican Rd Middletown NJ 07748-3040
Phone: (732) 610-8396
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Illmensee, Kellie Licensed Clinical Social Worker (LCSW)
Phone: (732) 610-8396

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05738600 New Jersey

Profile Details

NPI number 1790292787
LBN Legal business name Coastal Community Counseling Services Llc
DBA Doing business as
Authorized official Illmensee, Kellie Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2017
Last updated Oct 16th, 2025 - about last year

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.

Request for update

Popular Providers