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 provides Mental Health Counselor services 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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