| NPI | 1740089416 |
|---|---|
| Doing Business As | COASTAL PSYCHIATRY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DERRICK SMITH CEO And Practice Manager 804-923-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-10-28 |