Shoreline Behavioral Health Services, NPI 1629467022
Community/Behavioral Health Agency in Conway, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1629467022
NPI Entity Type Organization
Provider Name Shoreline Behavioral Health Services
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2404 Wise Rd, Conway, SC, US
Provider Mailing Address 2404 Wise Road, Conway, SC, US, 29528
Is Sole Proprietor? No
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Organization Official

Official Name ED John Coffin
Official Position EXECUTIVE DIRECTOR
Phone 843-365-8884

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

251S00000X

Taxonomy Name Community/Behavioral Health Agency
Classification

Community/Behavioral Health

Group

Agencies

License No. 57-0741188
License State SC
Description A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

Shoreline Behavioral Health Services
2404 Wise Rd

Conway, SC, US

Phone: 843-365-8884

Mailing Address

Shoreline Behavioral Health Services
2404 Wise Road
Conway, SC, US
ZIP 29528

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

101YP2500X

Behavioral Health & Social Service Providers

Counselor

SC No

Other Providers in SC, US

NPI Name Taxonomy Address

1104473065

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Lawanna S Carson

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PHARMD Taylor Lynn Brown

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Mt Pleasant, SC

1104541515

Katherine Elizabeth Leighton

Individual

Mental Health Counselor

320 Midland Pkwy Ste C

Summerville, SC

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