| Coastal Bridge Health, Llc | |
|
105 Green Lake Rd Moyock NC 27958-9671 | |
| (757) 777-2186 | |
| Not Available |
| Full Name | Coastal Bridge Health, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 105 Green Lake Rd, Moyock, North Carolina |
| Authorized Official Name and Position | Jordan Marie Senger (CEO) |
| Authorized Official Contact | 7577772186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Bridge Health, Llc 105 Green Lake Rd Moyock NC 27958-9671 Ph: (757) 777-2186 | Coastal Bridge Health, Llc 105 Green Lake Rd Moyock NC 27958-9671 Ph: (757) 777-2186 |
| NPI Number | 1548123748 |
|---|---|
| Provider Enumeration Date | 12/04/2025 |
| Last Update Date | 12/04/2025 |
| Certification Date | 12/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548123748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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