Provider Demographics
NPI:1174406235
Name:COASTAL COUNSELING AND ART THERAPY LLC
Entity type:Organization
Organization Name:COASTAL COUNSELING AND ART THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:C
Authorized Official - Last Name:COULON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-332-8567
Mailing Address - Street 1:14 MAINE ST
Mailing Address - Street 2:SUITE 202 BOX 61
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011
Mailing Address - Country:US
Mailing Address - Phone:207-332-8567
Mailing Address - Fax:
Practice Address - Street 1:14 MAINE ST
Practice Address - Street 2:SUITE 202
Practice Address - City:BRUNWICK
Practice Address - State:ME
Practice Address - Zip Code:04011
Practice Address - Country:US
Practice Address - Phone:207-332-8567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty