Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coastal Carolina Psychiatric Services PLLC

Organization Adult Mental Health Clinic/Center · NPI 1598807430

Coastal Carolina Psychiatric Services PLLC is an Adult Mental Health Clinic/Center in Wilson, North Carolina. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1708 Lakeside Dr NW
Wilson, NC 27896-1800
Phone: (252) 265-9680
Fax: (252) 265-9680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1598807430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bush Kavuru — Member-Manager · (252) 265-9680
NPI enumeratedFebruary 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1708 Lakeside Dr Nw, Wilson, NC 27896-1800

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