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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1026325 | Shoreline Behavioral Health Services | Compliance | Dec 29, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Horry County Commission
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Shoreline Behavioral Health Services
- Community/Behavioral Health Agency
- Conway, SC
- NPI 1134158231
-
dba Shoreline Behavioral Health Services
- Addiction Medicine (Family Medicine) Physician
- Conway, SC
- NPI 1558128520
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Pawley's Island, SC
- NPI 1912345893
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
- Eleanor Hopkins
- Kaylea Horacek, DO
- Erin Pamala Horne
- Horry County Comm on Alcohol & Drug Abuse (Shoreline Behavioral Health Services)
- Horry County Comm on Alcohol & Drug Abuse (Shoreline Behavioral Health Services)
- Horry County Disabilities & Special Needs Board
- Horry County Government (Horry County Fire Rescue)
- Horry County Rescue Squad Inc
- Horry County Schools
- Miranda Colletta Horton, M.D.
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.