Organization
COASTAL THERAPEUTIC EFFECT, LLC
Active
Other names
Coastal Therapeutic Effect
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY SUE COBERNUS-NEWELL LPC (OWNER)
(912) 596-0773
Entity
Organization
Contact information
Practice address
9390 FORD AVE STE 3, RICHMOND HILL, GA 31324-6418
(912) 596-0773
Mailing address
9390 FORD AVE STE 3, RICHMOND HILL, GA 31324-6418
(912) 596-0773
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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