HORRY COUNTY COMMISSION FOR ALCOHOL AND DRUG ABUSE (NPI# 1578969358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578969358 |
| Entity Type | Organization |
| Organization Name | HORRY COUNTY COMMISSION FOR ALCOHOL AND DRUG ABUSE |
| Other Organization Name | SHORELINE BEHAVIORAL HEALTH SERVICES |
| Practice Address |
2404 Wise Rd Conway SC 29526-5521 |
| Practice Telephone | 8433658884 |
| Mailing Telephone | 8433658884 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |
| Authorized Official Name | EVELYN CRUZ (COORDINATOR OF WOMEN'S RECOVERY CTR) |
| Authorized Official Telephone | 8434881300 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
5768 | SC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shoreline Behavioral Health Services | Doing Business As Name - Organization |
| Street Address |
2404 WISE RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134158231 | Horry County Comm On Alcohol & Drug Abuse | Substance Abuse Rehabilitation Facility | 2404 Wise Rd, Conway, SC 29526-5521 | 2006-07-01 |
| 1568075182 | Ovp Health Care, Inc. | Family Medicine | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-08-24 |
| 1558990051 | Bailey Erin Ray | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-04-06 |
| 1447889985 | Danielle Remensnyder | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-04-06 |
| 1790317246 | Christina Ann Feathers | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-02-12 |
| 1205474814 | Ohio Valley Physicians Inc | Family Medicine | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-12-13 |
| 1922642131 | Eric Michael Curtis | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-10-30 |
| 1033751045 | Lauren Grace Joosten | Social Worker | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-10-10 |
| 1326689340 | Kelsie Massengill | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-10-01 |
| 1588127229 | Reshaya Mcbride | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-04-10 |
| Find all providers in the same location | ||||
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356893416 | Solutions Recovery Center, Inc. | Clinic/Center | 520 Lowndes Hill Rd, Greenville, SC 29607-1405 | 2016-10-25 |
| 1922487610 | Cornerstone Project Sc, LLC | Clinic/Center | 1919 Hampton St, Columbia, SC 29201-3535 | 2015-05-27 |
| 1912345893 | Shoreline Behavioral Health Service | Clinic/Center | 626 Tyson Dr, Pawleys Island, SC 29585-6925 | 2013-06-12 |
| 1801131420 | Recoverylife, LLC | Clinic/Center | 2246 Sumter St, Columbia, SC 29201-1932 | 2012-12-07 |
| 1780934976 | Pavillon Greenville Outpatient Services | Clinic/Center | 101 Pelham Commons Blvd, Greenville, SC 29615-4974 | 2012-09-14 |
| 1437383403 | Center for Behavioral Health South Carolina, Inc | Clinic/Center | 2301 Cosgrove Ave Ste F, North Charleston, SC 29405-7663 | 2009-05-06 |
| 1376691022 | Saluda County Alcohol & Drug Abuse Comm | Clinic/Center | 204 N Ramage St, Saluda, SC 29138-1359 | 2007-01-08 |
| 1487665055 | Fairfield Behavioral Health Services | Clinic/Center | 178 Us Highway 321 Bypass N., Winnsboro, SC 29180 | 2006-08-10 |
| 1053340273 | Greenwood-edgefield-mccormick-abbeville Commission On Alcohol and Drug | Clinic/Center | 1420 Spring St, Greenwood, SC 29646-4057 | 2006-07-01 |
| 1972532075 | Laurens County Commission On Alcohol and Drug Abuse | Clinic/Center | 219 Human Services Road, Clinton, SC 29325 | 2006-07-01 |
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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.