COASTAL RECOVERY
NPI 1386869337
Substance Abuse Rehabilitation Facility in Myrtle Beach, SC

Active since April 16, 2007CLIA 42D2276964 · Waiver
1113 44TH AVENUE NORTH, SUITE 100, MYRTLE BEACH, SC 29577(843) 449-6261(843) 449-8171 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2023, Oct 2, 2023, Dec 27, 2022 and 3 more (6 updates tracked since 2016).

About Coastal Recovery NPPES

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

COASTAL RECOVERY (NPI 1386869337) is a healthcare organization registered as a substance abuse rehabilitation facility in Myrtle Beach, South Carolina and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Spencer Josey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386869337
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCOASTAL RECOVERY & WELLNESS, LLC
Location Address1113 44TH AVENUE NORTH, SUITE 100Myrtle Beach, SC 29577
Mailing Address1113 44th Avenue North, Suite 100Myrtle Beach, SC 29577 · (843) 449-6261 · Fax (843) 449-8171
Fax(843) 449-8171
Organization SubpartNo
Authorized OfficialSpencer JoseyCeo · (843) 449-6261
Enumeration DateApril 16, 2007
Last NPPES UpdateOctober 27, 20236 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
NPI 1386869337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License DHEC OTP-092 (SC)
1113 44TH AVENUE NORTH, Myrtle Beach, SC 29577

Other Names 1

Doing Business AsCoastal Recovery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2276964

Coastal Recovery & Wellness Center Dba Coastal Recovery · Myrtle Beach, SC
Active · expires Feb 16, 2027
CLIA Number42D2276964
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorMr. Spencer W. Josey
Laboratory Phone(843) 449-6261
Laboratory LocationCoastal Recovery & Wellness Center Dba Coastal Recovery1113 44th Avenue N, Suite 100, Myrtle Beach, SC 29577
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Recovery & Wellness, LLC's NPI number?

The NPI number for Coastal Recovery & Wellness, LLC is 1386869337. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is doing business as Coastal Recovery.

Where is Coastal Recovery & Wellness, LLC located?

Coastal Recovery & Wellness, LLC is located at 1113 44th Avenue North Suite 100, Myrtle Beach, SC 29577. The listed phone number is (843) 449-6261.

What is Coastal Recovery & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Coastal Recovery & Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2276964) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Recovery & Wellness, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Coastal Recovery & Wellness, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Recovery & Wellness, LLC was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.