NPI: 1306274519 · WHITEVILLE, NC 28472 · Community/Behavioral Health Agency · NPI assigned 10/24/2013
| Authorized Official | TRAYLOR, JONATHAN (PRESIDENT) |
| NPI Enumeration Date | 10/24/2013 |
Other providers sharing the same authorized official: TRAYLOR, JONATHAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| COASTAL CAROLINA BEHAVIORAL HEALTHCARE LLC | WHITEVILLE | NC | $80K |
| RANDOLPH MANAGEMENT COMPANY, INC. | ROANOKE | AL | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 252 | $14K |
| 2023 | 603 | $21K |
| 2024 | 659 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | Psychotherapy, 53 minutes with patient | 1,514 | 557 | $74K |