COASTAL HORIZONS CENTER, INC (NPI# 1467691238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467691238 |
| Entity Type | Organization |
| Organization Name | COASTAL HORIZONS CENTER, INC |
| Practice Address |
120 Coastal Horizons Dr Shallotte NC 28470 |
| Mailing Address |
615 Shipyard Blvd Wilmington NC 28412-6431 |
| Practice Telephone | 9107544515 |
| Practice Fax Number | 9107547997 |
| Mailing Telephone | 9103430145 |
| Mailing Fax Number | 9103415779 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2010-07-28 |
| Authorized Official Name | MS. MARGARET WELLER-STARGELL (PRESIDENT/CEO) |
| Authorized Official Telephone | 9103430145 |
| Is Organization Subpart | Y |
| Parent Organization Name | COASTAL HORIZONS CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
NC | Allopathic & Osteopathic Physicians | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5908303 | 05 | |
| NC | 5911555 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700348554 | Coastal Horizons Center, Inc | Community/Behavioral Health | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2019-04-02 |
| 1033420153 | Coastal Horizons Center, Inc | Counselor | 615 Shipyard Blvd, Wilmington, NC 28412 | 2010-06-23 |
| 1780907006 | Coastal Horizons Center, Inc | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2010-03-02 |
| 1063647535 | Coastal Horizons Center, Inc | Community/Behavioral Health | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2009-05-27 |
| 1952540726 | Coastal Horizons Center, Inc | Counselor | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2009-02-18 |
| Street Address |
120 COASTAL HORIZONS DR |
| City | SHALLOTTE |
| State | NC |
| Zip Code | 28470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886595 | Kelly Collier | Physician Assistant | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2005-07-22 |
| 1952909160 | Coastal Horizons Center Inc | Community/Behavioral Health | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2020-10-12 |
| 1346867520 | Devin Nicole Tilley | Social Worker | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2020-07-03 |
| 1750918496 | Lauren Madden Britton | Counselor | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2020-03-24 |
| 1912549155 | Angela Moore Quigley | Counselor | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2019-10-09 |
| 1235780610 | Emily Katherine Alford | Counselor | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2019-09-26 |
| 1932756079 | Ashley Derr | Counselor | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2019-08-22 |
| 1114589504 | Heather Marie Rubino | Social Worker | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2019-07-05 |
| 1639737554 | Miranda Swiney | Nurse Practitioner | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2019-06-05 |
| 1467939488 | Rachael Hodge | Counselor | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2018-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609336981 | Open Gate Counseling Services Pllc | Counselor | 117 Holden Beach Rd Sw, Suite 109a, Shallotte, NC 28470 | 2019-03-22 |
| 1689188286 | Justice Pharmacy,inc | Pharmacy | 301 S Willis Dr, #112, Shallotte, NC 28470 | 2017-11-20 |
| 1609224914 | Emergeortho, Pa | Orthopaedic Surgery | 5160 Ocean Highway West, Shallotte, NC 28470 | 2016-05-26 |
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1265741128 | Janet Rhyne Martin | Speech-Language Pathologist | 4902 Main Street, Suite D, Shallotte, NC 28470 | 2010-09-27 |
| 1225261555 | Jason Keeley Riemann | Chiropractor | 4911 Bridgers Rd, Shallotte, NC 28470 | 2009-09-03 |
| 1215108972 | Frederick A. Williams,dmd, Pa | Dentist | 343 Whiteville Road, Shallotte, NC 28470 | 2008-03-20 |
| 1053599316 | Brian Salvatore Lank | Chiropractor | 728 Village Rd, Sw, Shallotte, NC 28470 | 2008-02-08 |
| 1356539795 | Life Changers Intervention Services LLC | Community/Behavioral Health | 5039 Main St Suite 2, Shallotte, NC 28470 | 2007-10-10 |
| 1235267766 | Edmond Cochard | Psychologist | 120 Coastal Horizons Drive, Shalotte, NC 28470 | 2007-02-28 |
| Find all providers in zip 28470 | ||||
| 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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| 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.