CAROLINA COAST BEHAVIORAL SERVICES, LLC (NPI# 1306174305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306174305 |
| Entity Type | Organization |
| Organization Name | CAROLINA COAST BEHAVIORAL SERVICES, LLC |
| Practice Address |
1902 Old Parsonage Rd Charleston SC 29414-6205 |
| Practice Telephone | 8432598853 |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | SHANNON DOUGHTY (OWNER) |
| Authorized Official Telephone | 8432598853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1902 OLD PARSONAGE RD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700947751 | Shannon S Doughty | Psychologist | 1902 Old Parsonage Rd, Charleston, SC 29414-6205 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541669 | Myndspace Mental Health Education & Consulting, LLC | Community/Behavioral Health | 111 Bantry Cir, Charleston, SC 29414-8089 | 2020-09-03 |
| 1467997650 | The Underprivileged Children Foundation Inc. | Community/Behavioral Health | 716 Lee St E Ste 201, Charleston, WV 25301-1707 | 2016-12-27 |
| 1669824561 | Advantage | Community/Behavioral Health | 606 Fort Hill Dr, Charleston, WV 25314-1070 | 2016-07-05 |
| 1821458928 | Wv Institute for Spirituliaty | Community/Behavioral Health | 1601 Virginia St E, Charleston, WV 25311-2113 | 2016-03-02 |
| 1619349453 | Star, LLC | Community/Behavioral Health | 1864 Greenmore Dr, Charleston, SC 29407-3520 | 2015-10-20 |
| 1144617325 | Alliance for Change, LLC | Community/Behavioral Health | 1335 Vine St, Charleston, SC 29407-6437 | 2015-04-24 |
| 1659763001 | C&c Conversations LLC | Community/Behavioral Health | 263 King St, B, Charleston, SC 29401-1420 | 2015-02-23 |
| 1073922555 | Truliant Health Systems LLC | Community/Behavioral Health | 1535 Sam Rittenberg Blvd, Suite C, Charleston, SC 29407-4124 | 2014-08-08 |
| 1912257924 | New Horizons Therapy, LLC | Community/Behavioral Health | 2587 Ashley River Rd, Charleston, SC 29414-4613 | 2012-09-17 |
| 1376814814 | Grant and Ramsey Behavioral Health | Community/Behavioral Health | 7934 Red Birch Cir, Charleston, SC 29418-3190 | 2012-01-13 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on CAROLINA COAST BEHAVIORAL SERVICES, LLC.
| 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.