Healthcare Provider Details

I. General information

NPI: 1982548061
Provider Name (Legal Business Name): COASTAL SOUND AUDIOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14057 US HIGHWAY 17 STE 200
HAMPSTEAD NC
28443-3793
US

IV. Provider business mailing address

14057 US HIGHWAY 17 STE 200
HAMPSTEAD NC
28443-3793
US

V. Phone/Fax

Practice location:
  • Phone: 910-956-8700
  • Fax:
Mailing address:
  • Phone: 910-956-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABIGAIL M EARLIWINE
Title or Position: OWNER/AUDIOLOGIST
Credential: AU.D.
Phone: 740-310-0947