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MYRTLE BEACH TREATMENT SPECIALISTS LLC NPI 1922676998


NPI Information

NPI: 1922676998
Provider Name: MYRTLE BEACH TREATMENT SPECIALISTS LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
1607 EXECUTIVE AVE
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 712-7316
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MYRTLE BEACH TREATMENT SPECIALISTS LLC is a methadone clinic center in Myrtle Beach, SC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. MYRTLE BEACH TREATMENT SPECIALISTS LLC NPI is 1922676998. The provider is registered as an organization entity type.

The provider's business location address is:

1607 EXECUTIVE AVE
MYRTLE BEACH, SC
ZIP 29577-501
Phone: (843) 712-7316

The provider's authorized official is Andrew Simpson .
The authorized official title is Managing Member and has the following contact phone number (843) 712-7316.

The enumeration date for this NPI number is 6/15/2021 and was last updated on 6/15/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2800XClinic/CenterMethadoneYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.