| Coastal Carolina Psychiatric Services Pllc | |
| 1708 Lakeside Dr Nw Wilson NC 27896-1800 | |
| (252) 265-9680 | |
| (252) 265-9680 | 
| Full Name | Coastal Carolina Psychiatric Services Pllc | 
|---|---|
| Speciality | Clinic/center - Adult Mental Health | 
| Location | 1708 Lakeside Dr Nw, Wilson, North Carolina | 
| Authorized Official Name and Position | Bush Kavuru (MEMBER-MANAGER) | 
| Authorized Official Contact | 2522659680 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Coastal Carolina Psychiatric Services Pllc 1708 Lakeside Dr Nw Wilson NC 27896-1800 Ph: (252) 265-9680 | Coastal Carolina Psychiatric Services Pllc 1708 Lakeside Dr Nw Wilson NC 27896-1800 Ph: (252) 265-9680 | 
| NPI Number | 1598807430 | 
|---|---|
| Provider Enumeration Date | 02/13/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598807430 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary | 
| Regrowth Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5217 Castlewood Dr, Wilson, NC 27893 Phone: 336-210-5627 | |
| Teaching Academics For Life Learning Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4345 Georgetown Dr N, Wilson, NC 27896 Phone: 252-230-2689 | |
| Wilson Medical Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Tarboro St W, Suite 200, Wilson, NC 27893 Phone: 252-399-5306 Fax: 252-399-5307 | |
| Heal And Restore, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Nash St N, Wilson, NC 27896 Phone: 252-696-4091 Fax: 929-290-0328 | |
| Pride In North Carolina, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2416 Bedgood Drive, Wilson, NC 27893 Phone: 252-265-9200 Fax: 252-237-8600 | |
| Kairos Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2506 Nash St N, Wilson, NC 27896 Phone: 252-371-1385 | |
| Saint Lyfe Home Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4232 Coghill Dr N, Wilson, NC 27896 Phone: 252-315-5794 |