# CAROLINA BEACH COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033557665
- **Authorized official:** COREY ANDOLFI (OWNER)
- **Authorized official phone:** (910) 458-4544

## Contact information

- **Practice address:** 1328 LAKE PARK BLVD N, SUITE 109, CAROLINA BEACH, NC 28428
- **Practice address phone:** (910) 458-4544
- **Practice address fax:** (910) 458-4824
- **Mailing address:** 1328 LAKE PARK BLVD N, SUITE 109, CAROLINA BEACH, NC 28428-3935
- **Mailing address phone:** (910) 458-4544
- **Mailing address fax:** (910) 458-4824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/05/2013
- **Last updated:** 05/06/2024