Organization Active NPI

Horry County Comm on Alcohol & Drug Abuse

Doing business as Shoreline Behavioral Health Services

  • Clinical Medical Laboratory
  • Conway, SC
National Provider Identifier
1679471916
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HORRY COUNTY COMM ON ALCOHOL & DRUG ABUSE
Doing business as
Shoreline Behavioral Health Services
Practice address
2404 Wise Rd
Conway, SC 29526-5521
Phone
(843) 365-8884
Fax
(843) 365-6697
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Jessie Marlowe
Title
Executive Director
Phone
(843) 365-8884

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Clinical Medical Laboratory 291U00000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

2404 Wise Rd
Conway, SC 29526-5521

Mailing address

2404 Wise Rd
Conway, SC 29526-5521
Phone (843) 365-8884

Other names 1

  • Shoreline Behavioral Health Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1026325Shoreline Behavioral Health Services2404 Wise Road, Conway, SC 29526ComplianceDec 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Horry County Commission4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1679471916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 WISE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265521",
            "telephone_number": "843-365-8884",
            "fax_number": "843-365-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 WISE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265521",
            "telephone_number": "843-365-8884",
            "fax_number": "843-365-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORRY COUNTY COMM ON ALCOHOL & DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "MARLOWE",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-365-8884"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (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.