Healthcare Provider Details

I. General information

NPI: 1467240077
Provider Name (Legal Business Name): CALM COAST COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W CARLTON AVE STE 2
KILL DEVIL HILLS NC
27948-7888
US

IV. Provider business mailing address

102 GEORGE TOM CT
MANTEO NC
27954-9357
US

V. Phone/Fax

Practice location:
  • Phone: 252-256-7012
  • Fax:
Mailing address:
  • Phone: 252-425-2644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REBEKAH GIARD CAHOON
Title or Position: OWNER
Credential:
Phone: 252-425-2644