COASTAL COUNSELING PCB, LLC (NPI# 1730676057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730676057 |
| Entity Type | Organization |
| Organization Name | COASTAL COUNSELING PCB, LLC |
| Other Organization Name | COASTAL COUNSELING PCB |
| Practice Address |
400 Thomas Dr. 7108 Panama City Beach FL 32408 |
| Mailing Address |
2522 Pelican Bay Dr Panama City Beach FL 32408-7046 |
| Practice Telephone | 8507337720 |
| Mailing Telephone | 8507337720 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | DR. TREGON FITCH (MANAGER/COUNSELOR) |
| Authorized Official Telephone | 8507337720 |
| Authorized Official Credential | LMHC |
| 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) |
11097 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Coastal Counseling PCB | Doing Business As Name - Organization |
| Street Address |
400 THOMAS DR. 7108 |
| City | PANAMA CITY BEACH |
| State | FL |
| Zip Code | 32408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912400805 | Jennifer Lynn Marshall | Counselor | 400 Thomas Dr., 7108, Panama City Beach, FL 32408 | 2018-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306498050 | C. Michelle Gawronski Counseling LLC | Community/Behavioral Health | 7801 Quail Hollow Dr, Panama City Beach, FL 32408 | 2019-07-12 |
| 1114425113 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 2500 Veterans Way, Bldg 645, Panama City, FL 32408 | 2018-01-25 |
| 1508228925 | Matthew Welch | Clinic/Center | 2601 Thomas Dr, Panama City Beach, FL 32408 | 2016-03-24 |
| 1841662590 | Lauren Michelle Moore | Physical Therapy Assistant | 5718 Beach Drive, Panama City Beach, FL 32408 | 2015-10-21 |
| 1235578972 | Sarah Tilley | Counselor | 400 Thomas Drive, Unit 7108, Panama City Beach, FL 32408 | 2013-06-16 |
| 1942548235 | Marjory Stanek | Developmental Therapist | 2608 Celia Ave, Panama City, FL 32408 | 2013-01-22 |
| 1013110097 | Robert Charles Heikowsky II | Dentist | 8730 Thomas Drive, Ste 1102, Panana City Beach, FL 32408 | 2007-06-07 |
| 1083706899 | Myra Reed Md Pa | Internal Medicine | 1814 Thomas Drive, Panama City Beach, FL 32408 | 2006-09-29 |
| 1710080882 | Mark Daniel White | Chiropractor | 2427 Thomas Dr, Panama City, FL 32408 | 2006-09-06 |
| 1679593115 | Nichols & Associates Physical Theraphy Specialist Inc | Physical Therapist | 4032 Thomas Dr Ste 101a, Panama City, FL 32408 | 2006-07-20 |
| Find all providers in zip 32408 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341117 | Elks Therapy | Clinic/Center | 8317 Front Beach Rd Ste 29b2, Panama City Beach, FL 32407-4879 | 2020-03-20 |
| 1144842527 | David, Kelly | Clinic/Center | 2226 Thomas Dr, Panama City Beach, FL 32408-5814 | 2020-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY BEACH |
| Zip Code | 32408 |
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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.