Seacoast Youth Academy

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

SEACOAST YOUTH ACADEMY

Practice address

6367 Bay Rd
Myrtle Beach, SC 29588-6501

Phone

(843) 215-8080

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Sherri Johnson

Title

C.E.O.

Phone

(843) 340-0701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699821165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6367 BAY RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886501",
            "telephone_number": "843-215-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 BAY RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886501",
            "telephone_number": "843-215-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST YOUTH ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "843-340-0701"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Seashore Transport Services LLC
• Seaside Eye Associates P a

• Emotionally Disturbed Childrens' Residential Treatment Facility in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.