Organization
COASTAL SOUTHEASTERN UNITED CARE LLC
Active
Other names
Coastal Southeastern United Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON ASHLEY ATKINSON LCSW (VP, HOME AND COMMUNITY SERVICES)
(843) 806-2695
Entity
Organization
Contact information
Practice address
10 DOCTORS CIRCLE, SUITE 6, SUPPLY, NC 28462
(910) 755-5222
(910) 755-5255
Mailing address
305 COMMERCE AVE, SUITE 102, MOREHEAD CITY, NC 28557
(252) 773-0195
(252) 773-0214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302940
—
NC
05
—
8302940B
—
NC
05
—
8302940G
—
NC
05
—
8302940H
—
NC
01
—
B913
MEDICARE
NC
Enumeration date
06/16/2009
Last updated
09/02/2025
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