COASTAL NEUROPSYCHIATRY, PA (NPI# 1083859318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083859318 |
| Entity Type | Organization |
| Organization Name | COASTAL NEUROPSYCHIATRY, PA |
| Practice Address |
132 Professional Park Dr Suite B Conway SC 29526-9260 |
| Practice Telephone | 8433470356 |
| Practice Fax Number | 8433470390 |
| Mailing Telephone | 8433470356 |
| Mailing Fax Number | 8433470390 |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |
| Authorized Official Name | DR. WILLIAM ARCHIE VAN HORN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8433470356 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0TP-0100 | SC | Ambulatory Health Care Facilities |
| Street Address |
132 PROFESSIONAL PARK DR SUITE B |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124268172 | Gretchen Lee Beebe | Counselor | 132 Professional Park Dr, Suite B, Conway, SC 29526-9260 | 2009-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| 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 |
|---|---|---|---|---|
| 1366477911 | Bhc Pinnacle Pointe Hospital | Clinic/Center | 2215 E Oak St Ste 1, Conway, AR 72032 | 2006-07-12 |
| 1033768734 | Catalyst Counseling, Pllc | Clinic/Center | 2223 Washington Ave Ste C, Conway, AR 72032-2765 | 2019-09-05 |
| 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 | ||||
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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.