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 provides Psychiatry Physician services 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

824 Gum Branch Rd Ste Q
Jacksonville, NC 28540-6272 Not confirmed with CMS for 10 years — call before visiting
Phone: (814) 602-9096
Fax: (910) 346-1054
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Jacksonville