Sea Coast Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SEA COAST RECOVERY, LLC

Practice address

880 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2600

Phone

(984) 364-8693

NPI assigned

Jan 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dominicka WhitakerNPI 1265961619

Title

Ceo

Phone

(201) 540-6512

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominicka Whitaker, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1265961619
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1144737016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 PLUMLEAF RD APT 1617",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133899",
            "telephone_number": "201-540-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MARTIN LUTHER KING JR BLVD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142600",
            "telephone_number": "984-364-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA COAST RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "DOMINICKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-540-6512"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scout Counseling Services PLLC
• Christopher Scoville, LCSW, LCAS
• Robert Thomas Screen, MD
• Mark W Scroggs, M.D.
• Aviva Sarah Scully, LCSW
• Jackson T Seagroves, DDS
• Meredith R Seagroves, LCSWA
• Carl John Seashore, MD
• Mathew Sebastian, MD, PHD
• Deborah Lee Sebring, PHD

• Substance Abuse Rehabilitation Facility in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.