Provider Demographics
NPI:1932350675
Name:SEACOAST FAMILY THERAPY, LLC
Entity Type:Organization
Organization Name:SEACOAST FAMILY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARRIAH
Authorized Official - Middle Name:CAINAN
Authorized Official - Last Name:KALIL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:603-793-6950
Mailing Address - Street 1:PO BOX 766
Mailing Address - Street 2:44 LAFAYETTE RD.
Mailing Address - City:NORTH HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03862-0766
Mailing Address - Country:US
Mailing Address - Phone:603-793-6950
Mailing Address - Fax:
Practice Address - Street 1:44 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:NORTH HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03862-9998
Practice Address - Country:US
Practice Address - Phone:603-793-6950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH94106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty