| Coastal Mental Health Center Inc | |
|
2900 17th St Ste 3 Saint Cloud FL 34769-6098 | |
| (800) 614-4124 | |
| (888) 217-4124 |
| Full Name | Coastal Mental Health Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2900 17th St Ste 3, Saint Cloud, 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: (800) 614-4124 | Coastal Mental Health Center Inc 2900 17th St Ste 3 Saint Cloud FL 34769-6098 Ph: (800) 614-4124 |
| NPI Number | 1114674082 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114674082 | NPI | - | NPPES |
| 000959605 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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