NPI 1629467022

Shoreline Behavioral Health Services

Organisation Community/Behavioral Health Agency Conway, SC

Practice location

Address: 2404 Wise Rd, Conway, SC 29526-5521
Phone: (843) 365-8884
Mailing address: 2404 Wise Road, Conway, SC 29528

Authorised official

Name: John Coffin
Title: Executive Director
Phone: (843) 365-8884

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 57-0741188 (SC)

Other Community/Behavioral Health providers in South Carolina →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Other Counselor providers in South Carolina →

Registry record

NPI: 1629467022
Entity type: Organization
NPI issued: 22 Jan 2015
Record last updated: 22 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.