Organization · Type 2 NPI
Coastal Mind Over Matter LLC
Psychiatric/Mental Health Nurse Practitioner · Conway, SC
NPI number
1447197157
Active
Practice location
1354 Boswell Ct
Conway, SC 29526-9550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1447197157
Coastal Mind Over Matter LLC's National Provider Identifier is 1447197157, issued on Apr 30, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Conway, SC. The record was last updated on Apr 30, 2026.