Organization
COASTAL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY NIKOLE SPARKS LCSW (OWNER/THERAPIST)
(361) 389-6018
Entity
Organization
Contact information
Practice address
2727 MORGAN AVE STE 200, CORPUS CHRISTI, TX 78405-1817
(361) 389-6018
Mailing address
PO BOX 10056, CORPUS CHRISTI, TX 78460-0056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
51827
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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