Healthcare Provider Details

I. General information

NPI: 1306503263
Provider Name (Legal Business Name): COAST TO COAST COUNSELING & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2021
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3149 SHORE DR STE C
VIRGINIA BEACH VA
23451-1129
US

IV. Provider business mailing address

3820 LONG SHIP CT
VIRGINIA BEACH VA
23455-1678
US

V. Phone/Fax

Practice location:
  • Phone: 757-291-4258
  • Fax:
Mailing address:
  • Phone: 757-291-4258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL C HOLLAND
Title or Position: OWNER / THERAPIST
Credential: L.P.C.
Phone: 757-291-4258