COASTAL ADDICTION RECOVERY LLC (NPI# 1083184576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083184576 |
| Entity Type | Organization |
| Organization Name | COASTAL ADDICTION RECOVERY LLC |
| Practice Address |
2179 Ashley Phosphate Rd Ste B North Charleston SC 29406-4180 |
| Practice Telephone | 8437183168 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | JODIE MOORE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8437183168 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942701792 | Coastal Addiction Recovery LLC | Counselor | 2179 Ashley Phosphate Rd Ste B, North Charleston, SC 29406-4180 | 2018-02-27 |
| Street Address |
2179 ASHLEY PHOSPHATE RD STE B |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-4180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437319266 | Todd Keith Magro | Psychiatry & Neurology | 2179 Ashley Phosphate Rd Ste B, North Charleston, SC 29406 | 2008-06-16 |
| 1942701792 | Coastal Addiction Recovery LLC | Counselor | 2179 Ashley Phosphate Rd Ste B, North Charleston, SC 29406-4180 | 2018-02-27 |
| 1871878595 | Alliance Medical Group | Family Medicine | 2179 Ashley Phosphate Rd Ste B, North Charleston, SC 29406-4180 | 2011-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568684165 | Carolina Wellness Solutions | Clinic/Center | 5401 Netherby Lane, Suite 102b, North Charleston, SC 29420 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497363527 | Lumin Center, LLC | Clinic/Center | 306a Mills Ave, Greenville, SC 29605-4022 | 2020-07-15 |
| 1801431069 | Lantana Recovery | Clinic/Center | 1470 Ben Sawyer Blvd Ste 6, Mount Pleasant, SC 29464-4593 | 2019-11-12 |
| 1407497803 | Jouney Counseling, LLC | Clinic/Center | 439 Congaree Rd Ste 6, Greenville, SC 29607-2868 | 2019-10-07 |
| 1255801973 | Sunspire Health Hilton Head LLC | Clinic/Center | 11 Arley Way Ste 101, Bluffton, SC 29910-4883 | 2018-11-26 |
| 1942791090 | Family Medicine of Sayebrook, LLC | Clinic/Center | 106 Lansford Pl Ste 100, Myrtle Beach, SC 29588-6979 | 2018-05-24 |
| 1114455615 | Magnolia Family Counseling LLC | Clinic/Center | 135 Eagles Nest Dr # B4, Seneca, SC 29678-2765 | 2017-05-26 |
| 1508235110 | Health Access 360, LLC | Clinic/Center | 4711 Forest Dr Ste 3-276, Columbia, SC 29206-3125 | 2015-09-24 |
| 1043504806 | Bakers Counseling Services, LLC | Clinic/Center | 12 Fairfield Rd Ste B3, Beaufort, SC 29907-2576 | 2011-06-08 |
| 1609180058 | Brown Mitchell, LLC | Clinic/Center | 35 Msc, Charleston, SC 29409-1002 | 2010-07-27 |
| 1528387040 | Mental Health America-beaufort/jasper | Clinic/Center | 2 Mathews Ct Ste C, Suite C, Hilton Head Island, SC 29926-3799 | 2010-05-24 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.