| Organization Name: | COASTAL COUNSELING SERVICES, LLC |
| NPI Number: | 1295013985 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY LARKIN (PSYCHOTHERAPIST) |
| Mailing Address: | 1648 Bay Ave Suite 2 Point Pleasant Boro |
| State: | NJ US |
| Postal Code: | 087424502 |
| Phone Number: | 7326001306 |
| Fax Number: | 7328996962 |
| NPI Enumeration Date: | 07/28/2011 |
| NPI Last Update Date: | 07/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05471200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |