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

Coastal Center for Cognitive Therapy, PA

Organization Clinical Psychologist · NPI 1447436290

Coastal Center for Cognitive Therapy, PA is a Clinical Psychologist in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2008.

Licensed in
SC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 Johnson Ave Ste 200
Myrtle Beach, SC 29577-1660
Phone: (843) 839-9028
Fax: (843) 839-9029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1071 (SC)

Record details

NPI number1447436290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Grant — President/Secretary · (843) 839-9028
NPI enumeratedJanuary 10, 2008
Last updated in NPPESMarch 6, 2009
Mailing address1101 Johnson Ave, Suite 200, Myrtle Beach, SC 29577-1660

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