Healthcare Provider Details

I. General information

NPI: 1598677916
Provider Name (Legal Business Name): COASTAL HORIZONS CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 MEDICAL CENTER DR
WILMINGTON NC
28401-7505
US

IV. Provider business mailing address

1404 MEDICAL CENTER DR
WILMINGTON NC
28401-7505
US

V. Phone/Fax

Practice location:
  • Phone: 910-202-3155
  • Fax:
Mailing address:
  • Phone: 910-790-9949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TALMADGE LINDSAY JOINES JR.
Title or Position: QI/TRAINING DIR./OTP SPONSOR
Credential:
Phone: 910-685-0283