COASTAL WELLNESS, LLC
Social Work in Corpus Christi, TX

License number
Texas 801800621
Category
Social Work
Type
Professional
Owner
Name: MRS. SHANA HISAW
Title: OWNER
Phone: (432) 889-5475
Address
Address
9929 Spid Dr STE 113, Corpus Christi, TX 78418
National Provider ID: 1447684097
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COASTAL WELLNESS, LLC

9929 S Padre Is Dr STE 113, Corpus Christi, TX 78418

Industry:
Health/Allied Services
Registration:
Jun 13, 2013
Phone:
(361) 937-5508 (Phone)
State ID:
0801800621
OWNERs:
Anna Brooke Knight (GOVERNING), 9929 Spid SUITE 113, Corpus Christi, TX 78418,Kenneth Knight (OWNER), 9929 Spid SUITE 113, Corpus Christi, TX 78418
Agent:
Kenneth M Knight,9929 S Padre Is Dr #113, Corpus Christi, TX 78418 (Physical)
TIN:
32051248014
Categories:
Chiropractors, Health & Wellness Programs

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