Organization
COASTAL FAMILY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ANTOINE WILLIAMS MS, LPC, NCC (CEO)
(910) 891-1222
Entity
Organization
Contact information
Practice address
1100 S CLINTON AVE STE C, DUNN, NC 28334-6325
(910) 891-1222
(910) 891-1333
Mailing address
PO BOX 68, DUNN, NC 28335-0068
(910) 891-1222
(910) 891-1333
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006431
—
NC
Enumeration date
10/24/2007
Last updated
06/11/2009
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