Organization
COASTAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIADRA BLOUNT PRATT MS, LCAS, CCS, LPCA (THERAPIST)
(252) 256-7219
Entity
Organization
Contact information
Practice address
51 HWY 33 W, CHOCOWINITY, NC 27817
(252) 256-7219
Mailing address
PO BOX 644, CHOCOWINITY, NC 27817-0644
(252) 256-7219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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