COASTAL HORIZONS CENTER, INC. (NPI# 1144305723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144305723 |
| Entity Type | Organization |
| Organization Name | COASTAL HORIZONS CENTER, INC. |
| Other Organization Name | N/A |
| Practice Address |
615 Shipyard Blvd Wilmington NC 28412-6431 |
| Mailing Address |
523 Mill Creek Ct Apt. C Wilmington NC 28403-8529 |
| Practice Telephone | 9103430145 |
| Practice Fax Number | 9103415779 |
| Mailing Telephone | 9105240365 |
| Mailing Fax Number | 9103415779 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ERIC LUTTMER (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | (910)343-0145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
190232 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6004050 | 05 |
| Other Name | Type Code |
|---|---|
| n/a | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922456052 | Coastal Horizons Center, Inc. | Family Medicine | 1307 Market St, New Hanover High School, Wilmington, NC 28401-4331 | 2016-05-31 |
| 1447608575 | Coastal Horizons Center, Inc. | Family Medicine | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2016-05-31 |
| 1922483874 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2015-07-21 |
| 1003050634 | Coastal Horizons Center, Inc. | Psychologist | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2009-04-27 |
| 1831333467 | Coastal Horizons Center, Inc. | Counselor | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2009-04-27 |
| 1629278361 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2007-07-20 |
| 1790985448 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2007-07-20 |
| 1184824823 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2007-07-20 |
| 1174723829 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2007-07-20 |
| 1992905640 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2007-07-20 |
| Street Address |
615 SHIPYARD BLVD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254438 | Elizabeth A Deaton | Family Medicine | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2005-06-08 |
| 1447850458 | Heather Black | Nurse Practitioner | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-10-28 |
| 1346847860 | Hayley Mitchell | Physician Assistant | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-10-07 |
| 1013514215 | Danielle Margaret Robbins | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-10-01 |
| 1972118909 | Brittany Cole Mckeon | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-09-15 |
| 1376157230 | Jayce Noelle Inscoe | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-09-08 |
| 1780298786 | Elizabeth Marie Barber | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-09-07 |
| 1942811849 | Brianna Little Wells | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-08-13 |
| 1679184626 | Logan Shontez Ellison | Counselor | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-08-13 |
| 1538770649 | Cameron Staley | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1750926465 | Gwen Borcyk, Msw, Lcsw, Pllc | Clinic/Center | 313 Walnut St Ste 106, Wilmington, NC 28401-4063 | 2019-11-18 |
| 1780231878 | Fortitude Psychological Services, Inc. | Clinic/Center | 4900 Randall Pkwy Ste D, Wilmington, NC 28403-2831 | 2019-08-22 |
| 1982117669 | Sound Psychologial Services, Pa | Clinic/Center | 3317 Masonboro Loop Rd Unit 160, Wilmington, NC 28409-2970 | 2017-11-16 |
| 1962859496 | Your Center, LLC | Clinic/Center | 222 Philadelphia Pike Ste 4, Wilmington, DE 19809-3166 | 2016-05-13 |
| 1720408586 | Merakey Allos | Clinic/Center | 101 Rogers Rd, Wilmington, DE 19801-5778 | 2014-04-21 |
| 1598185670 | Merakey Allos | Clinic/Center | 5574 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2014-04-16 |
| 1275972333 | Merakey Allos | Clinic/Center | 5572 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2013-06-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1659676617 | Andrew W Donohue Do | Clinic/Center | 34 Harlech Dr, Wilmington, DE 19807-2508 | 2011-01-21 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.