SURFSIDE COUNSELING LLC NPI 1518430693

NPI Information

  • NPI: 1518430693
  • Provider Name: SURFSIDE COUNSELING, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1500 NORTH HWY 17 BUSINESS
    SUITE 104
    SURFSIDE BEACH, SC
    ZIP 29575
  • Phone: (843) 333-8624

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NPI Details

SURFSIDE COUNSELING, LLC is a professional counselor in Surfside Beach, SC. SURFSIDE COUNSELING, LLC NPI is 1518430693. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 NORTH HWY 17 BUSINESS
SUITE 104
SURFSIDE BEACH, SC
ZIP 29575
Phone: (843) 333-8624
Fax: (888) 274-0122

The provider's authorized official is Kristina Carter Goodall .
The authorized official title is Counselor and has the following contact phone number (843) 333-8624.

The enumeration date for this NPI number is 1/10/2019 and was last updated on 1/10/2019.

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
1101YP2500XCounselorProfessionalYes

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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