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

Coastline Mental Health LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1811729015

Coastline Mental Health LLC is a Psychiatric/Mental Health Nurse Practitioner in Niceville, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1723 Pine Ave
Niceville, FL 32578-4600
Phone: (850) 368-4670
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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

Record details

NPI number1811729015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Pullam — Owner · (850) 368-4670
NPI enumeratedAugust 15, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address1723 Pine Ave, Niceville, FL 32578-4600

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