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

Coastal Serenity Psychiatry PLLC

Organization Psychiatry Physician · NPI 1942648043

Coastal Serenity Psychiatry PLLC is a Psychiatry Physician in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
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

824 Gum Branch Rd Ste Q
Jacksonville, NC 28540-6272
Phone: (814) 602-9096
Fax: (910) 346-1054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2010-00175 (NC)

Record details

NPI number1942648043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Sprague — Owner · (814) 602-9096
NPI enumeratedJune 11, 2013
Last updated in NPPESAugust 29, 2016
Mailing address201 Canaan Ct, Jacksonville, NC 28546-5280

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