Coastal Recovery & Wellness, LLC

Key facts

NPI: 1386869337
Entity type: Organization (NPI type 2)
Primary specialty: Substance Abuse Rehabilitation Facility 324500000X
Legal business name: COASTAL RECOVERY & WELLNESS, LLC
Practice address: 1113 44TH Avenue North
Suite 100
Myrtle Beach, SC 29577
Phone: (843) 449-6261
Fax: (843) 449-8171
NPI assigned: Apr 16, 2007
Organization subpart: No

Authorized official

Name: Mr. Spencer Josey NPI 1942632526
Title: Ceo
Phone: (843) 449-6261

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Spencer Walker Josey, MA, LPC, CACII Professional Counselor · Myrtle Beach, SC · NPI 1942632526

NPD Authorized official ADDICTION (SUBSTANCE USE DISORDER)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
42D2276964	Coastal Recovery & Wellness Center Dba 1113 44TH Avenue N, Suite 100, Myrtle Beach, SC 29577	Certificate of waiver	Feb 16, 2027

National Provider Directory

Locations

1113 44th Ave N
Ste 100
Myrtle Beach, SC 29577
Phone (843) 449-6261

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	101YA0400X	DHEC OTP-092	SC
Addiction (Substance Use Disorder) Counselor Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	101YA0400X		SC
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X
Substance Abuse Rehabilitation Facility	324500000X			Yes

Addresses

Primary practice location

1113 44TH Avenue North
Suite 100
Myrtle Beach, SC 29577

Mailing address

1113 44TH Avenue North
Suite 100
Myrtle Beach, SC 29577
Phone (843) 449-6261

Other names

Coastal Recovery Doing business as

Other providers in Myrtle Beach, SC

All providers in Myrtle Beach, SC · Substance Abuse Rehabilitation Facility in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.