Organization · Type 2 NPI

Coastal Addiction Recovery LLC

Addiction Medicine (Psychiatry & Neurology) Physician · North Charleston, SC

NPI number 1942701792 Active

Practice location

2179 Ashley Phosphate Rd Ste B
North Charleston, SC 29406-4180

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist 106H00000XNone listed
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed
Psychiatry Physician 2084P0800XNone listed
Addiction Psychiatry Physician 2084P0802XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

2 other providers at this address

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About NPI 1942701792

Coastal Addiction Recovery LLC's National Provider Identifier is 1942701792, issued on Feb 27, 2018. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in North Charleston, SC. The record was last updated on Feb 27, 2018.