Coastal Psychological Group, LLC

NPI #1487257853 in Valrico, Florida

Provider Information

NPI Number: 1487257853
Entity Type: Organization
Organization Name: Coastal Psychological Group, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 3005 LITHIA PINECREST RD
City: Valrico
State: Florida
ZIP Code: 33596-5630
Phone: (516) 315-9771

Authorized Official

Name: AMANDA BAUER-MANZELLA, LMHC
Title: OWNER
Phone: (516) 315-9771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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