IESHA COAXUM
NPI 1497492029
Counselor - Addiction (Substance Use Disorder) in North Charleston, SC

Active since May 16, 2022
3900 LEEDS AVE STE 101, NORTH CHARLESTON, SC 29405(854) 222-3773 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Iesha Coaxum NPPES

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

IESHA COAXUM (NPI 1497492029) is an individual addiction (substance use disorder) provider in North Charleston, South Carolina and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1497492029
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameIESHA COAXUM
Location Address3900 LEEDS AVE STE 101North Charleston, SC 29405-7608
Mailing Address3900 Leeds Ave Ste 101North Charleston, SC 29405-7608 · (854) 222-3773
Sole ProprietorNo
Enumeration DateMay 16, 2022
NPPES CertifiedMay 13, 2022
NPI 1497492029 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
3900 LEEDS AVE STE 101, North Charleston, SC 29405

Other Providers at the Same Location NPPES 3

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

Social Worker
3900 LEEDS AVE STE 101
NORTH CHARLESTON, SC 29405
Substance Abuse Rehabilitation Facility
3900 LEEDS AVE STE 101
NORTH CHARLESTON, SC 29405
Clinic/Center (Methadone)
3900 LEEDS AVE STE 101
NORTH CHARLESTON, SC 29405

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 Iesha Coaxum's NPI number?

The NPI number for Iesha Coaxum is 1497492029. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Iesha Coaxum located?

Iesha Coaxum practices at 3900 Leeds Ave Ste 101, North Charleston, SC 29405. The listed phone number is (854) 222-3773.

What is Iesha Coaxum'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 Iesha Coaxum was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.