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COASTAL REJUVENATION SOLUTIONS
NPI 1134801160
Clinic/Center - Multi-Specialty in Myrtle Beach, SC

Active since August 01, 2023
630 CHESTNUT RD, MYRTLE BEACH, SC 29572(843) 945-1452(843) 945-1489 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Rejuvenation Solutions NPPES

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

COASTAL REJUVENATION SOLUTIONS (NPI 1134801160) is a healthcare organization registered as a multi-specialty in Myrtle Beach, South Carolina and active in the NPI registry since August 2023. The organization lists Laura C Crawford, Owner, as its authorized official.

NPPES Registry Identity

NPI1134801160
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOASTAL REJUVENATION SOLUTIONS
Location Address630 CHESTNUT RDMyrtle Beach, SC 29572-5502
Mailing Address630 Chestnut RdMyrtle Beach, SC 29572-5502 · (843) 945-1452 · Fax (843) 945-1489
Phone(843) 945-1452
Fax(843) 945-1489
Organization SubpartNo
Authorized OfficialLaura C CrawfordOwner · (843) 945-1452
Enumeration DateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1134801160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
630 CHESTNUT RD, Myrtle Beach, SC 29572
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

LAURA L CRAWFORD LMSW
Social Worker
630 CHESTNUT RD
MYRTLE BEACH, SC 29572
Horry County (843) 945-1452
ALYSSA JOY CAGGIANO LMSW
Social Worker (Clinical)
630 CHESTNUT RD
MYRTLE BEACH, SC 29572
Horry County (843) 945-1452
ANGEL TUMBLESTON PMHNP
Psychiatry & Neurology (Psychiatry)
630 CHESTNUT RD
MYRTLE BEACH, SC 29572
Horry County (843) 624-7001
SOPHIA HELENA ORCUTT LMSW
Social Worker
630 CHESTNUT RD
MYRTLE BEACH, SC 29572
Horry County (843) 945-1452
OKSANA CHABOT LMFT-A, ADC-IP
Marriage & Family Therapist
630 CHESTNUT RD
MYRTLE BEACH, SC 29572
Horry County (843) 945-1452
JESSICA YVONNE GREENE LPC
Counselor (Mental Health)
630 CHESTNUT RD
MYRTLE BEACH, SC 29572
Horry County (843) 945-1452
SHELIZA THOMPSON LPCA
Counselor (Mental Health)
630 CHESTNUT RD
MYRTLE BEACH, SC 29572
Horry County (843) 945-1452
MELISSA MELROY LMSW
Counselor (Mental Health)
630 CHESTNUT RD
MYRTLE BEACH, SC 29572
Horry County (484) 366-5189

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 Rejuvenation Solutions's NPI number?

The NPI number for Coastal Rejuvenation Solutions is 1134801160. It was assigned to this organization in the NPPES registry on August 1, 2023.

Where is Coastal Rejuvenation Solutions located?

Coastal Rejuvenation Solutions is located at 630 Chestnut Rd, Myrtle Beach, SC 29572. The listed phone number is (843) 945-1452.

What is Coastal Rejuvenation Solutions's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Coastal Rejuvenation Solutions was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.