COASTAL ADDICTION RECOVERY LLC
NPI 1083184576
Clinic/Center - Adult Mental Health in North Charleston, SC

Active since November 28, 2018
2179 ASHLEY PHOSPHATE RD STE B, NORTH CHARLESTON, SC 29406(843) 718-3168 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Addiction Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL ADDICTION RECOVERY LLC (NPI 1083184576) is a healthcare organization registered as an adult mental health in North Charleston, South Carolina and active in the NPI registry since November 2018. The organization lists Jodie Moore, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1083184576
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCOASTAL ADDICTION RECOVERY LLC
Location Address2179 ASHLEY PHOSPHATE RD STE BNorth Charleston, SC 29406-4180
Mailing Address2179 Ashley Phosphate Rd Ste BNorth Charleston, SC 29406-4180
Organization SubpartNo
Authorized OfficialJodie MooreDirector Of Operations · (843) 718-3168
Enumeration DateNovember 28, 2018
NPI 1083184576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

2179 ASHLEY PHOSPHATE RD STE B, North Charleston, SC 29406

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2179 ASHLEY PHOSPHATE RD STE B
NORTH CHARLESTON, SC 29406
Psychiatry & Neurology (Addiction Medicine)
2179 ASHLEY PHOSPHATE RD STE B
NORTH CHARLESTON, SC 29406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Addiction Recovery LLC's NPI number?

The NPI number for Coastal Addiction Recovery LLC is 1083184576. It was assigned to this organization in the NPPES registry on November 28, 2018.

Where is Coastal Addiction Recovery LLC located?

Coastal Addiction Recovery LLC is located at 2179 Ashley Phosphate Rd Ste B, North Charleston, SC 29406. The listed phone number is (843) 718-3168.

What is Coastal Addiction Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Coastal Addiction Recovery LLC was last updated on November 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.