| Coastal Carolina Behavioral Health, Inc. | |
|
2734 Beaver Run Blvd Unit D Surfside Beach SC 29575-5392 | |
| (843) 650-1085 | |
| (843) 650-1088 |
| Full Name | Coastal Carolina Behavioral Health, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2734 Beaver Run Blvd Unit D, Surfside Beach, South Carolina |
| Authorized Official Name and Position | Samantha Giermann (VP) |
| Authorized Official Contact | 8436501085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Carolina Behavioral Health, Inc. 2734 Beaver Run Blvd Unit D Surfside Beach SC 29575-5392 Ph: (843) 650-1085 | Coastal Carolina Behavioral Health, Inc. 2734 Beaver Run Blvd Unit D Surfside Beach SC 29575-5392 Ph: (843) 650-1085 |
| NPI Number | 1932884046 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932884046 | NPI | - | NPPES |
| PG1348 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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Coastal Carolina Behavioral Health, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2734 Beaver Run Blvd Unit D, Surfside Beach, SC 29575 Phone: 843-650-1085 Fax: 843-650-1088 |