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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLAKE ELIZABETH THOMPSON ADC-IP
NPI 1417860156
Counselor - Addiction (Substance Use Disorder) in Myrtle Beach, SC

Active since September 24, 2026
1607 EXECUTIVE AVE, MYRTLE BEACH, SC 29577(843) 712-7316(843) 954-1022 Get Directions Write a Review

NPPES record added: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Blake Elizabeth Thompson Adc-ip NPPES

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

BLAKE ELIZABETH THOMPSON ADC-IP (NPI 1417860156) is an individual addiction (substance use disorder) provider in Myrtle Beach, South Carolina, licensed in South Carolina (ADC-IP2840) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1417860156
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBLAKE ELIZABETH THOMPSONCredential: ADC-IP
Location Address1607 EXECUTIVE AVEMyrtle Beach, SC 29577-6501
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (833) 510-4357 · Fax (866) 460-2997
Phone(843) 712-7316
Fax(843) 954-1022
Sole ProprietorNo
Enumeration DateSeptember 24, 2026
NPPES CertifiedSeptember 24, 2026
✔ NPI 1417860156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in SC · ADC-IP2840
1607 EXECUTIVE AVE, Myrtle Beach, SC 29577
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Other Names 1

Other Name (5)Blake Harshman Adc-ip

Other Providers at the Same Location NPPES 8

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

LISA JOSEPHINE DESTEFANO MA
Counselor (Addiction (Substance Use Disorder))
1607 EXECUTIVE AVE
MYRTLE BEACH, SC 29577
Horry County (843) 712-7316
AMY PETERSON
Licensed Practical Nurse
1607 EXECUTIVE AVE
MYRTLE BEACH, SC 29577
Horry County (843) 712-7316
MEAGAN HILBURN FNP-C
Nurse Practitioner (Family)
1607 EXECUTIVE AVE
MYRTLE BEACH, SC 29577
Horry County (843) 712-7316
TIFFANY CLARK PHARMACY TECHNICIAN
Pharmacy Technician
1607 EXECUTIVE AVE
MYRTLE BEACH, SC 29577
Horry County (843) 712-7316
KELLY LYNN UNDERWOOD
Counselor (Addiction (Substance Use Disorder))
1607 EXECUTIVE AVE
MYRTLE BEACH, SC 29577
Horry County (843) 712-7316
KEVIN ALEXANDER CALDWELL
Counselor (Addiction (Substance Use Disorder))
1607 EXECUTIVE AVE
MYRTLE BEACH, SC 29577
Horry County (843) 712-7316
BOBBY WAYNE JORDAN ADC
Counselor (Addiction (Substance Use Disorder))
1607 EXECUTIVE AVE
MYRTLE BEACH, SC 29577
Horry County (843) 712-7316
MYRTLE BEACH TREATMENT SPECIALISTS LLC
Clinic/Center (Methadone)
1607 EXECUTIVE AVE
MYRTLE BEACH, SC 29577
Horry County (843) 712-7316

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 Blake Thompson's NPI number?

The NPI number for Blake Thompson is 1417860156. It was assigned to this individual provider in the NPPES registry on September 24, 2026. The provider is also known as Blake Harshman Adc-Ip.

Where is Blake Thompson located?

Blake Thompson practices at 1607 Executive Ave, Myrtle Beach, SC 29577. The listed phone number is (843) 712-7316.

What is Blake Thompson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Blake Thompson was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.