ALTERNATIVE LIVING SOLUTIONS OF SOUTH CAROLINA LLC NPI 1609463900

NPI Information

NPI: 1609463900
Provider Name: ALTERNATIVE LIVING SOLUTIONS OF SOUTH CAROLINA LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1501 S OCEAN BLVD STE 839
MYRTLE BEACH, SC
ZIP 29577
Phone: (704) 612-0566
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ALTERNATIVE LIVING SOLUTIONS OF SOUTH CAROLINA LLC is a mental health counselor in Myrtle Beach, SC. ALTERNATIVE LIVING SOLUTIONS OF SOUTH CAROLINA LLC NPI is 1609463900. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1501 S OCEAN BLVD STE 839
MYRTLE BEACH, SC
ZIP 29577-545
Phone: (704) 612-0566
Fax: (704) 498-4846

The provider's authorized official is Stephanie Renee Shine-morrison .
The authorized official title is Ceo and has the following contact phone number (704) 612-0566.

The enumeration date for this NPI number is 12/21/2020 and was last updated on 12/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	Yes
3	101YP2500X	Counselor	Professional	No
4	163WC0400X	Registered Nurse	Case Management	No
5	251E00000X	Home Health		No
6	374U00000X	Home Health Aide		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201221-1457506	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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