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COASTAL ADDICTION RECOVERY LLC
NPI 1942701792
Psychiatry & Neurology - Addiction Medicine in North Charleston, SC

Active since February 27, 2018
2179 ASHLEY PHOSPHATE RD STE B, NORTH CHARLESTON, SC 29406(843) 718-3168 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Addiction Recovery Llc NPPES

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

COASTAL ADDICTION RECOVERY LLC (NPI 1942701792) is a healthcare organization registered as an addiction medicine in North Charleston, South Carolina and active in the NPI registry since February 2018. The organization lists Jodi Moore, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1942701792
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameCOASTAL ADDICTION RECOVERY LLC
Location Address2179 ASHLEY PHOSPHATE RD STE BNorth Charleston, SC 29406-4180
Mailing Address2179 Ashley Phosphate Rd Ste BNorth Charleston, SC 29406-4180 · (843) 718-3168
Phone(843) 718-3168
Organization SubpartNo
Authorized OfficialJodi MooreExecutive Administrator · (864) 303-2499
Enumeration DateFebruary 27, 2018
✔ NPI 1942701792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
2179 ASHLEY PHOSPHATE RD STE B, North Charleston, SC 29406
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

COASTAL ADDICTION RECOVERY LLC
Clinic/Center (Adult Mental Health)
2179 ASHLEY PHOSPHATE RD STE B
NORTH CHARLESTON, SC 29406
Charleston County (843) 718-3168
ALLIANCE MEDICAL GROUP
Family Medicine
2179 ASHLEY PHOSPHATE RD STE B
NORTH CHARLESTON, SC 29406
Charleston County (843) 225-7317

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 Addiction Recovery LLC's NPI number?

The NPI number for Coastal Addiction Recovery LLC is 1942701792. It was assigned to this organization in the NPPES registry on February 27, 2018.

Where is Coastal Addiction Recovery LLC located?

Coastal Addiction Recovery LLC is located at 2179 Ashley Phosphate Rd Ste B, North Charleston, SC 29406. The listed phone number is (843) 718-3168.

What is Coastal Addiction Recovery LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Coastal Addiction Recovery LLC was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.