Organization
COASTAL MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIANA THOMPSON (NURSE PRACTITIONER)
(302) 219-7424
Entity
Organization
Contact information
Practice address
25 POMPTON AVE STE 101, VERONA, NJ 07044-2938
(302) 219-7424
(281) 836-5486
Mailing address
25 POMPTON AVE STE 101, VERONA, NJ 07044-2938
(302) 219-7424
(281) 836-5486
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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