Coastal Springs Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COASTAL SPRINGS COUNSELING LLC

Practice address

106 Lansford CT Ste 200
Myrtle Beach, SC 29588-3501

Phone

(843) 983-1655

Fax

(843) 983-1665

NPI assigned

Mar 21, 2024

Last updated

Mar 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa E Sloan, M.ED.NPI 1093730632

Title

Managing Member

Phone

(843) 983-1655

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Elise Sloan, MED LPC LAC CCMHC

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1093730632

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1780444059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LANSFORD CT STE 200",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295883501",
            "telephone_number": "843-983-1655",
            "fax_number": "843-983-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LANSFORD CT STE 200",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295883501",
            "telephone_number": "843-983-1655",
            "fax_number": "843-983-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPRINGS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "843-983-1655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Recovery & Wellness, LLC (Coastal Recovery)
• Coastal Rejuvenation Solutions
• Coastal Renal Care
• Coastal Samaritan Counseling Center
• Coastal Sleep Lab, Inc
• Coastal Wellness Center, LLC
• Chrystal M Coates-Gal, MD
• Stephanie C. Cobb, DO
• Tracy M Cobb, P.T.
• Gwendolyn Patterson Cobbs, M.D.

• Mental Health Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.