Coastal Support Specialists, Inc.

LBN: Coastal Support Specialists, Inc.
Coastal Support Specialists, Inc. is an health care organization with primary practice located at 2460 Delaney Ave , Wilmington NC 28403-6062. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Coastal Support Specialists, Inc. can be contacted via phone (910) 792-6130, or through Van Der Kuijl, Camillus (Case) P. via phone (910) 233-1374.

Contact Information

Primary practice address
2460 Delaney Ave Wilmington NC 28403-6062
Phone: (910) 792-6130
Fax: (910) 792-6132
Website:
Map and Directions
Authorized official contact:
Name: Van Der Kuijl, Camillus (Case) P.
Phone: (910) 233-1374

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1780869297
LBN Legal business name Coastal Support Specialists, Inc.
DBA Doing business as
Authorized official Van Der Kuijl, Camillus (Case) P.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Aug 16th, 2013 - about 13 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 1780869297 NPPES
North Carolina MEDICAID 6008286
North Carolina MEDICAID 8702029

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