institution
Coastal Horizons Center, Inc.
Prescribing (Medical) Psychologist in Wilmington, North Carolina
NPI 1003050634

Coastal Horizons Center, Inc. is a Prescribing (Medical) Psychologist based in Wilmington, NC and is specialized in Prescribing (Medical). Coastal Horizons Center, Inc. practices in Wilmington, NC. The NPI Number for Coastal Horizons Center, Inc. is 1003050634 and holds a License No. MHL-065-011 (North Carolina).

The current practice location address for Coastal Horizons Center, Inc. is 615 Shipyard Blvd, Wilmington, NC and can be reached out via phone at 910-790-0187 and via fax at 910-790-0189. You can also correspond with Coastal Horizons Center, Inc. through the mailing address at 615 SHIPYARD BLVD, WILMINGTON, NC - 28412-6431 (mailing address contact number: 910-790-0187).

Location: 615 Shipyard Blvd, Wilmington, NC, 28412-6431
institution
Provider Profile Details
NPI Number
1003050634
Provider Name
Coastal Horizons Center, Inc.
Credential
Provider Entity Type
Organization
Address
615 Shipyard Blvd, Wilmington, NC, 28412-6431
Phone Number
910-790-0187
Fax Number
910-790-0189
Provider Enumeration Date
04/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5900561 05 NC
institution
Provider Business Practice Location Address Details
Address
615 Shipyard Blvd
City
State
Zip
28412-6431
Phone Number
910-790-0187
Fax Number
910-790-0189
person
Provider Business Mailing Address Details
Address
615 Shipyard Blvd
City
State
Zip
28412-6431
Phone Number
910-790-0187
Fax Number
910-790-0189
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
MHL-065-011 (North Carolina)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
License No.
MHL-065-011 (North Carolina)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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