Organization
COASTAL HAVEN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ELAINE QUAST (LPC)
(843) 945-0346
Entity
Organization
Contact information
Practice address
220 RONNIE CT STE 2, MYRTLE BEACH, SC 29579-4192
(843) 945-0346
(843) 432-3091
Mailing address
220 RONNIE CT STE 2, MYRTLE BEACH, SC 29579-4192
(843) 945-0346
(843) 432-3091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
6522
SC
Other
Enumeration date
02/03/2017
Last updated
10/25/2019
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