Coastline Behavioral Health

LBN: Coastline Behavioral Health
Coastline Behavioral Health is an health care organization with primary practice located at 2102 Business Center Dr # 121 , Irvine CA 92612-1001. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Coastline Behavioral Health can be contacted via phone (949) 300-1657, or through Priesing, Mike via phone (949) 300-1657.

Contact Information

Primary practice address
2102 Business Center Dr # 121 Irvine CA 92612-1001
Phone: (949) 300-1657
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Priesing, Mike MHW CATC
Phone: (949) 300-1657

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300630AP California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 300630AP California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 300630AP California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 300630AP California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 300630AP California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14445 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 14445 California

Profile Details

NPI number 1407216906
LBN Legal business name Coastline Behavioral Health
DBA Doing business as
Authorized official Priesing, Mike MHW CATC
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 26th, 2016
Last updated Feb 26th, 2016 - about 10 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 1407216906 NPPES
California Other 300630AP DEPARTMENT OF HEALTHCARE SERVICES

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