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Contact Information

COASTAL ADDICTION RECOVERY LLC
2179 ASHLEY PHOSPHATE RD STE B
NORTH CHARLESTON, SC29406-4180
 Phone: 843-718-3168
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Counselor

101Y00000X
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for COASTAL ADDICTION RECOVERY LLC · (Female)

NPI Number 1942701792
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2018
Last updated 02/27/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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