MEDICARE: COASTAL COUNSELING ASSOCIATES, LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1588771935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASTAL COUNSELING ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	149 DURHAM RD STE 31
Second Line	:
City	:	MADISON
State	:	CT
Zip	:	06443-2664
Country	:	US
Telephone Number	:	203-245-1956
Fax Number	:	203-245-6710

Provider Business Practice Location Address
First Line	:	149 DURHAM RD STE 31
Second Line	:
City	:	MADISON
State	:	CT
Zip	:	06443-2664
Country	:	US
Telephone Number	:	203-245-1956
Fax Number	:	203-245-6710

Authorized Official
Title or Position	:	PRACTICE MANAGER/OWNER
Name	:	MS. JUDY S. DOYLE
Credential	:
Telephone Number	:	203-245-1956

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1487628624 — DR. W. DEAN PFEIFER PHD
Practice Location Address:

149 DURHAM RD 31
MADISON, CT
06443-2664

Practice Phone: 203-245-1956
Practice Fax: 203-245-6710

1619070737 — MRS. VALERIE ANNE DRAKE MA
Practice Location Address:

149 DURHAM RD STE 26
MADISON, CT
06443-2664

Practice Phone: 203-208-8750
Practice Fax:

1497231757 — BRIANA BENN-MIRANDI LPC
Practice Location Address:

149 DURHAM RD STE 26
MADISON, CT
06443-2664

Practice Phone: 203-350-3717
Practice Fax:

1669081600 — KELSEY DOYLE
Practice Location Address:

149 DURHAM RD STE 31
MADISON, CT
06443-2664

Practice Phone: 203-245-1956
Practice Fax:

1548913742 — PAUL BATTLES LLC
Practice Location Address:

149 DURHAM RD STE 26
MADISON, CT
06443-2664

Practice Phone: 203-208-6038
Practice Fax:

1710665146 — TAMMEY ROONEY LMFT PSYCHOTHERAPY, LLC
Practice Location Address:

149 DURHAM RD STE 30
MADISON, CT
06443-2664

Practice Phone: 203-530-0494
Practice Fax:

Directions to “COASTAL COUNSELING ASSOCIATES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.