Organization
COASTAL BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI RICHARDI PSY.D. (OWNER)
(954) 271-3397
Entity
Organization
Contact information
Practice address
1650 NE 26TH ST STE 201, WILTON MANORS, FL 33305-1431
(954) 271-3397
(954) 947-3028
Mailing address
1650 NE 26TH ST STE 201, WILTON MANORS, FL 33305-1431
(954) 271-3397
(954) 947-3028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 9346
FL
Other
Enumeration date
10/08/2015
Last updated
09/10/2018
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