# COASTAL COGNITION AND LANGUAGE CENTER, PLLC

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

## Provider details

- **NPI number:** 1568396463
- **Authorized official:** DR. ANSLEY DAVIS PHD, CCC-SLP (OWNER/FOUNDER)
- **Authorized official phone:** (904) 257-6082

## Contact information

- **Practice address:** 1148 N MAIN ST, JACKSONVILLE, FL 32206
- **Practice address phone:** (904) 257-6082
- **Mailing address:** 12529 YELLOW BLUFF RD STE 6, JACKSONVILLE, FL 32226-3813
- **Mailing address phone:** (904) 257-6082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2026
- **Last updated:** 06/09/2026