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

Coastal Waters Counseling Services

Organization Mental Health Counselor · NPI 1396427399

Coastal Waters Counseling Services is a Mental Health Counselor in West Bend, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

139 N Main St Ste 104
West Bend, WI 53095-3300
Phone: (262) 305-8075
Fax: (262) 353-3777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1396427399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Gloff — Owner · (262) 305-8075
NPI enumeratedAugust 1, 2023
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address139 N Main St Ste 104, West Bend, WI 53095-3300

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