Coastal Carolina Behavioral Health, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

COASTAL CAROLINA BEHAVIORAL HEALTH, INC.

Practice address

2734 Beaver Run Blvd Unit D
Surfside Beach, SC 29575-5392

Phone

(843) 650-1085

Fax

(843) 650-1088

NPI assigned

Jul 20, 2022

Last updated

Oct 28, 2025By 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

Samantha Giermann

Title

Office Manager

Phone

(910) 382-4082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Coastal Carolina Behavioral Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Coastal Carolina Behavioral Health, Inc.

  • Psychiatry Physician
  • Surfside Beach, SC
  • NPI 1932884046
  NPD tax ID

Locations

Practitioners 7

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.

• Eric Quentin Mizelle, MD

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1780737072

  SC

  Medicare reassignment NPD
• Sandra Alexander

  • Physician Assistant
  • Myrtle Beach, SC
  • NPI 1457741746
  NPD
• Shannon Flaherty

  • Physician Assistant
  • Murrells Inlet, SC
  • NPI 1376345702
  NPD
• Stephanie Helbeck Cornfield, MSW

  • Clinical Social Worker
  • Myrtle Beach, SC
  • NPI 1891292330

  Multi-Specialty

  NPD (past)
• Todd William Houthuysen, PA-C

  • Physician Assistant
  • Columbia, SC
  • NPI 1447359187
  NPD (past)
• Lena Margaret Tindall, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Myrtle Beach, SC
  • NPI 1942023015
  NPD (past)
• Stephanie Macklin

  • Physician Assistant
  • Raeford, NC
  • NPI 1003545773
  NPD (past)

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1811622277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 BEAVER RUN BLVD UNIT D",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295755392",
            "telephone_number": "843-650-1085",
            "fax_number": "843-650-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 BEAVER RUN BLVD UNIT D",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295755392",
            "telephone_number": "843-650-1085",
            "fax_number": "843-650-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295263013",
            "country_code": "US",
            "telephone_number": "843-650-1085 x2",
            "fax_number": "843-650-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL CAROLINA BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "GIERMANN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-382-4082"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic and Wellness Studio (The Chiropractic and Wellness Studio)
• Karen Cox Clark, FNP
• Raymond E Cleary III, DDS
• Janet Clifford, PT
• Coastal Calm Psychiatry Associates LLC
• Coastal Carolina Behavioral Health, Inc.
• Coastal Home Therapy LLC (Coastal Home Therapy)
• Coastal Podiatry Associates PA
• Coastal Vision Center
• James M Coker, O.D

• Psychiatry Physician in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.