Organization
COASTAL PSYCHIATRY AND WELLNESS LLC
Active
Other names
Coastal Psychiatry and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DERRICK SMITH (CEO AND PRACTICE MANAGER)
(804) 923-4002
Entity
Organization
Contact information
Practice address
10469 ATLEE STATION RD STE 100, ASHLAND, VA 23005-8913
(804) 923-4002
Mailing address
10469 ATLEE STATION RD STE 100, ASHLAND, VA 23005-8913
(804) 932-4002
(833) 974-3888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
12/29/2025
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