| Coastal Counseling Llc | |
|
18684 Old Canal Ln Millville DE 19967-6791 | |
| (302) 515-6410 | |
| Not Available |
| Full Name | Coastal Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 18684 Old Canal Ln, Millville, Delaware |
| Authorized Official Name and Position | Amy Nicholson (OWNER) |
| Authorized Official Contact | 4106526068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Counseling Llc 18684 Old Canal Ln Millville DE 19967-6791 Ph: (410) 652-6068 | Coastal Counseling Llc 18684 Old Canal Ln Millville DE 19967-6791 Ph: (302) 515-6410 |
| NPI Number | 1558186189 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/10/2025 |
| Medicare PECOS PAC ID | 8022545110 |
|---|---|
| Medicare Enrollment ID | O20241231003739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558186189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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