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SHORELINE BEHAVIORAL HEALTH SERVICES
NPI 1629467022
Community/Behavioral Health in Conway, SC

Active since January 22, 2015
2404 WISE RD, CONWAY, SC 29526(843) 365-8884 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shoreline Behavioral Health Services NPPES

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

SHORELINE BEHAVIORAL HEALTH SERVICES (NPI 1629467022) is a healthcare organization registered as a community/behavioral health in Conway, South Carolina and active in the NPI registry since January 2015. The organization lists John Coffin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629467022
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHORELINE BEHAVIORAL HEALTH SERVICES
Location Address2404 WISE RDConway, SC 29526-5521
Mailing Address2404 Wise RoadConway, SC 29528
Phone(843) 365-8884
Organization SubpartNo
Authorized OfficialJohn CoffinExecutive Director · (843) 365-8884
Enumeration DateJanuary 22, 2015
✔ NPI 1629467022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in SC · 57-0741188
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
2404 WISE RD, Conway, SC 29526
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Other Identifiers 1

Medicaid57-0741188SC

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

LATOYA LAWRENCE
Counselor
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
SABRINA JELKS LMSW
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
HANNA GRACE HARDEE
Counselor
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MR. STEPHEN BRADLEY COOK M.ED.
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
CHRISTIAN BERTLEMANN
Counselor
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MATTHEW PARTON MS, ADC-IP
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MS. ERIKA POMERANTZ
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MRS. CHRISTINE WRIGHT RN-BC
Registered Nurse (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884

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 Shoreline Behavioral Health Services's NPI number?

The NPI number for Shoreline Behavioral Health Services is 1629467022. It was assigned to this organization in the NPPES registry on January 22, 2015.

Where is Shoreline Behavioral Health Services located?

Shoreline Behavioral Health Services is located at 2404 Wise Rd, Conway, SC 29526. The listed phone number is (843) 365-8884.

What is Shoreline Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Shoreline Behavioral Health Services was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.