COASTAL TIDES COUNSELING NPI 1831457985

NPI Information

NPI: 1831457985
Provider Name: COASTAL TIDES COUNSELING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
990 LAKE HUNTER CIR
SUITE 1A
MT PLEASANT, SC
ZIP 29464
Phone: (843) 324-1449
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COASTAL TIDES COUNSELING is a mental health counselor in Mt Pleasant, SC. COASTAL TIDES COUNSELING NPI is 1831457985. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

990 LAKE HUNTER CIR
SUITE 1A
MT PLEASANT, SC
ZIP 29464-426
Phone: (843) 324-1449

The provider's authorized official is Julia Lee Lesch .
The authorized official title is Owner And Provider and has the following contact phone number (843) 670-8954.

The enumeration date for this NPI number is 4/26/2012 and was last updated on 9/5/2012.

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	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	6818	SOUTH CAROLINA	Yes

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	6818	OTHER	SOUTH CAROLINA	LICENSED INDEPENDENT SOCIAL WORKER CP

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: 5/5/2024

NPI Synchronization or Removal

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