Organization
COASTAL BEHAVIORAL HEALTHCARE, INC.
Active
Organization
COASTAL BEHAVIORAL HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL HABERMEHL (BILLING/CLAIMS/MANAGEDCARE DIRECTOR)
(941) 331-2530
Entity
Organization
Contact information
Practice address
4579 NORTHGATE CT, SARASOTA, FL 34234-2124
(941) 927-8900
(941) 308-2931
Mailing address
4579 NORTHGATE CT, SARASOTA, FL 34234-2124
(941) 366-5333
(941) 927-6315
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
1423
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060975700
—
FL
05
—
060975715
—
FL
05
—
060975716
—
FL
05
—
060975717
—
FL
05
—
060975720
—
FL
05
—
060975721
—
FL
05
—
060975722
—
FL
05
—
060975725
—
FL
05
—
060975726
—
FL
05
—
060975728
—
FL
05
—
060975741
—
FL
Enumeration date
03/29/2006
Last updated
09/09/2020
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