Healthcare Provider Details

I. General information

NPI: 1992663066
Provider Name (Legal Business Name): COASTAL HEALING AND COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 S EL CAMINO REAL STE 103
OCEANSIDE CA
92054-6217
US

IV. Provider business mailing address

2131 S EL CAMINO REAL STE 103
OCEANSIDE CA
92054-6217
US

V. Phone/Fax

Practice location:
  • Phone: 760-407-2840
  • Fax: 855-752-9057
Mailing address:
  • Phone: 760-407-2840
  • Fax: 855-752-9057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA DENISE CASEY
Title or Position: OWNER
Credential: LMFT
Phone: 760-407-2840