MEDICARE: COASTAL HORIZONS CENTER INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6005343	NC

General Provider Information

NPI Number	:	1104361260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASTAL HORIZONS CENTER INC.

Provider Business Mailing Address
First Line	:	615 SHIPYARD BLVD
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28412-6431
Country	:	US
Telephone Number	:	910-343-0145
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 NEW BRIDGE ST
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-5684
Country	:	US
Telephone Number	:	910-343-0145
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MARGARET WELLER STARGELL
Credential	:
Telephone Number	:	910-343-0145

Provider Enumeration Date	:	12/28/2016
Last Update Date	:	07/01/2026

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