# COASTAL SOLUTIONS LLC

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

## Provider details

- **NPI number:** 1255978128
- **Authorized official:** NIADRA BLOUNT PRATT MS, LCAS, CCS, LPCA (THERAPIST)
- **Authorized official phone:** (252) 256-7219

## Contact information

- **Practice address:** 51 HWY 33 W, CHOCOWINITY, NC 27817
- **Practice address phone:** (252) 256-7219
- **Mailing address:** PO BOX 644, CHOCOWINITY, NC 27817-0644
- **Mailing address phone:** (252) 256-7219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 12/10/2019
- **Last updated:** 12/10/2019