# COASTAL PSYCHIATRIC SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043928369
- **Authorized official:** MS. JACQUELINE ANN OWENS PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (339) 499-8753

## Contact information

- **Practice address:** 32 HAMMOND AVE, COHASSET, MA 02025-1928
- **Practice address phone:** (339) 499-8753
- **Practice address fax:** (781) 803-3979
- **Mailing address:** 32 HAMMOND AVE, COHASSET, MA 02025-1928
- **Mailing address phone:** (339) 499-8753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2022
- **Last updated:** 11/07/2022