Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coastal Addiction Recovery LLC

Organization Counselor · NPI 1942701792

Coastal Addiction Recovery LLC is a Counselor in North Charleston, South Carolina. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2179 Ashley Phosphate Rd Ste B
North Charleston, SC 29406-4180
Phone: (843) 718-3168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X
Psychiatry Physician Taxonomy 2084P0800X
Addiction Psychiatry Physician Taxonomy 2084P0802X

Record details

NPI number1942701792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodi Moore — Executive Administrator · (864) 303-2499
NPI enumeratedFebruary 27, 2018
Last updated in NPPESFebruary 27, 2018
Mailing address2179 Ashley Phosphate Rd Ste B, North Charleston, SC 29406-4180

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