Organization
COASTLINE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS HAMILTON LACKEY MD (FOUNDER)
(251) 615-0000
Entity
Organization
Contact information
Practice address
101B VILLA DRIVE, SUITE 226, DAPHNE, AL 36526
(251) 615-0000
Mailing address
101B VILLA DRIVE, SUITE 226, DAPHNE, AL 36526
(251) 615-0000
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us