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General NPI Number Information
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NPI Number | 1598726648
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Entity Type | Organization
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Legal Business Name | COASTAL BEHAVIORAL HEALTHCARE, INC.
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 4579 NORTHGATE CT
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City | SARASOTA
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State | FL
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Zip | 34234-2124
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Country | US
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Telephone | 941-927-8900
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Fax | 941-308-2931
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Provider Business Mailing Address
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Address Line | 4579 NORTHGATE CT
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City | SARASOTA
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State | FL
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Zip | 34234-2124
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Country | US
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Telephone | 941-366-5333
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Fax | 941-927-6315
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Authorized Official
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Title or Position | BILLING/CLAIMS/MANAGEDCARE DIRECTOR
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Name | CAROL HABERMEHL
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Credential |
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Telephone | 941-331-2530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1423
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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