Coastal Addiction Recovery Llc

LBN: Coastal Addiction Recovery Llc
Coastal Addiction Recovery Llc is an health care organization with primary practice located at 2179 Ashley Phosphate Rd Ste B , North Charleston SC 29406-4180. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Coastal Addiction Recovery Llc can be contacted via phone (843) 718-3168, or through Moore, Jodi via phone (864) 303-2499.

Contact Information

Primary practice address
2179 Ashley Phosphate Rd Ste B North Charleston SC 29406-4180
Phone: (843) 718-3168
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Jodi
Phone: (864) 303-2499

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X

Profile Details

NPI number 1942701792
LBN Legal business name Coastal Addiction Recovery Llc
DBA Doing business as
Authorized official Moore, Jodi
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2018
Last updated Feb 27th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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