COASTAL RECOVERY & WELLNESS LLC NPI 1386869337

NPI Information

NPI: 1386869337
Provider Name: COASTAL RECOVERY & WELLNESS, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Doing Business As: COASTAL RECOVERY
CLIA Number: 42D2276964
Address: 1113 44TH AVENUE NORTH
SUITE 100
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 449-6261

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NPI Details

COASTAL RECOVERY & WELLNESS, LLC is a substance abuse rehabilitation facility in Myrtle Beach, SC. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. COASTAL RECOVERY & WELLNESS, LLC NPI is 1386869337. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Coastal Recovery.

The provider's business location address is:

1113 44TH AVENUE NORTH
SUITE 100
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 449-6261
Fax: (843) 449-8171

The provider's authorized official is Spencer Josey .
The authorized official title is Ceo and has the following contact phone number (843) 449-6261.

The CLIA number assigned to this NPI record is 42D2276964 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 10/27/2023.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	DHEC OTP-092	SOUTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)		SOUTH CAROLINA	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
4	324500000X	Substance Abuse Rehabilitation Facility				Yes

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: 11/21/2025

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