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

Coastal Ridge Health Services, PLLC

Organization Professional Counselor · NPI 1487133351

Coastal Ridge Health Services, PLLC is a Professional Counselor in Hampstead, North Carolina. Licensed in North Carolina and Virginia. Registered with an NPI since 2018.

Licensed in
NC, VA
In the registry since
2018
Specialties on file
4
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

14057 US Highway 17 Ste 200
Hampstead, NC 28443-3793
Phone: (910) 821-1418
Fax: (866) 860-0997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024175505 (VA)
Professional Counselor Taxonomy 101YP2500X · Licence 4461S (NC)
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 5009986 (NC)

Record details

NPI number1487133351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Jenks — Owner/Executive Director · (910) 821-1418
Other names Deborah Jenks
NPI enumeratedAugust 10, 2018
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023
Mailing address14057 Us Highway 17 Ste 200, Hampstead, NC 28443-3793

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