SHORELINE BEHAVIORAL HEALTH SERVICE
NPI 1912345893
Clinic/Center - Rehabilitation, Substance Use Disorder in Pawleys Island, SC

Active since June 12, 2013CLIA 42D1026325 · Certificate of Compliance
626 TYSON DR, PAWLEYS ISLAND, SC 29585(843) 318-6221 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shoreline Behavioral Health Service NPPES

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

SHORELINE BEHAVIORAL HEALTH SERVICE (NPI 1912345893) is a healthcare organization registered as a rehabilitation, substance use disorder in Pawleys Island, South Carolina and active in the NPI registry since June 2013. The organization holds a CLIA Certificate of Compliance certificate valid through December 29, 2027 and lists Charles Bell, Director Of Treatment Services, as its authorized official.

NPPES Registry Identity

NPI1912345893
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSHORELINE BEHAVIORAL HEALTH SERVICE
Location Address626 TYSON DRPawleys Island, SC 29585-6925
Mailing Address626 Tyson DrPawleys Island, SC 29585-6925 · (843) 318-6221
Organization SubpartNo
Authorized OfficialCharles BellDirector Of Treatment Services · (843) 365-8884
Enumeration DateJune 12, 2013
NPI 1912345893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License Licensed in SC · 1112301
626 TYSON DR, Pawleys Island, SC 29585

Other Identifiers 1

Other1112301SC · Scaadac

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 Compliance 42D1026325

Shoreline Behavioral Health Services · Conway, SC
Active · expires Dec 29, 2027
CLIA Number42D1026325
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorJohn E. Emmel
Laboratory Phone(843) 365-8884
Laboratory LocationShoreline Behavioral Health Services2404 Wise Road, Conway, SC 29526
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Service's NPI number?

The NPI number for Shoreline Behavioral Health Service is 1912345893. It was assigned to this organization in the NPPES registry on June 12, 2013.

Where is Shoreline Behavioral Health Service located?

Shoreline Behavioral Health Service is located at 626 Tyson Dr, Pawleys Island, SC 29585. The listed phone number is (843) 318-6221.

What is Shoreline Behavioral Health Service's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Shoreline Behavioral Health Service hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D1026325) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shoreline Behavioral Health Service was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.