Organization
COASTAL HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI POWLEY LCSW-C (OWNER)
(443) 521-2580
Entity
Organization
Contact information
Practice address
5530 BONNIE BROOK RD, CAMBRIDGE, MD 21613-3436
(443) 521-2580
Mailing address
PO BOX 512, CAMBRIDGE, MD 21613-0512
(443) 521-2580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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