SHORELINE TREATMENT CENTER, LLC
NPI 1114627726
Clinic/Center - Adult Mental Health in Long Beach, CA

Active since March 03, 2023
4510 E PACIFIC COAST HWY STE 120, LONG BEACH, CA 90804(615) 864-8145 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 22, 2023, Mar 3, 2023 (2 updates tracked since 2023).

  • Organization
  • Clinic/Center
  • Adult Mental Health

About SHORELINE TREATMENT CENTER, LLC

This page provides the complete NPI Profile along with additional information for Shoreline Treatment Center, Llc, a provider established in Long Beach, California operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1114627726 assigned on March 2023. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Scott Sarnacke (Cfo)

NPI
1114627726 Verify this NPI
Provider Name
SHORELINE TREATMENT CENTER, LLC
Entity Type
Organization
Location Address
4510 E PACIFIC COAST HWY STE 120 LONG BEACH, CA 90804
Location Phone
(615) 864-8145
Mailing Address
4510 E PACIFIC COAST HWY STE 120 LONG BEACH, CA 90804
Mailing Phone
(615) 864-8145
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2023
Last Update Date
05-29-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT SARNACKE

Authorized Official Title
CFO
Authorized Official Phone
(615) 442-7689

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Adolescent and Children Mental Health)
4510 E PACIFIC COAST HWY STE 120
LONG BEACH, CA 90804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114627726, enumerated as an "organization" on March 03, 2023.

The provider is located at 4510 E PACIFIC COAST HWY STE 120 LONG BEACH, CA 90804 and the phone number is (615) 864-8145.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.