Organization
COASTAL MIND OVER MATTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA STONE PMHNP (OWNER)
(843) 653-9850
Entity
Organization
Contact information
Practice address
1354 BOSWELL CT, CONWAY, SC 29526-9550
(843) 653-9850
Mailing address
1354 BOSWELL CT, CONWAY, SC 29526-9550
(843) 653-9850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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