Coastal Mental Health Center Inc | |
8382 Baymeadows Rd Ste 7 Jacksonville FL 32256-7436 | |
(407) 347-6387 | |
(888) 217-4124 |
Full Name | Coastal Mental Health Center Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 8382 Baymeadows Rd Ste 7, Jacksonville, Florida |
Authorized Official Name and Position | Tamar Richardson (DIRECTOR) |
Authorized Official Contact | 4073476387 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coastal Mental Health Center Inc 665 W Warren Ave Longwood FL 32750-4004 Ph: (407) 347-6387 | Coastal Mental Health Center Inc 8382 Baymeadows Rd Ste 7 Jacksonville FL 32256-7436 Ph: (407) 347-6387 |
NPI Number | 1306593181 |
---|---|
Provider Enumeration Date | 03/02/2022 |
Last Update Date | 03/02/2022 |
Certification Date | 03/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306593181 | NPI | - | NPPES |
000959612 | Medicaid | FL | |
15474 | Other | FL | EXEMPTION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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