LONGBOARD RECOVERY NPI 1659262186

NPI Information

  • NPI: 1659262186
  • Provider Name: LONGBOARD RECOVERY
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 1549 ASHER AVE
    MOUNT PLEASANT, SC
    ZIP 29466
  • Phone: (615) 605-1047

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NPI Details

LONGBOARD RECOVERY is an adult mental health clinic center in Mount Pleasant, SC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LONGBOARD RECOVERY NPI is 1659262186. The provider is registered as an organization entity type.

The provider's business location address is:

1549 ASHER AVE
MOUNT PLEASANT, SC
ZIP 29466-512
Phone: (615) 605-1047

The provider's authorized official is Lindsay Richerson .
The authorized official title is Ceo and has the following contact phone number (615) 605-1047.

The enumeration date for this NPI number is 7/12/2025 and was last updated on 7/12/2025.

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
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 3/30/2025

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