Organization
COASTAL SAMARITAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA P TAVERNIER EDD (EXECUTIVE DIRECTOR)
(843) 448-4820
Entity
Organization
Contact information
Practice address
1297 PROFESSIONAL DRIVE, STE 101, MYRTLE BEACH, SC 29577-5713
(843) 448-4820
(843) 448-9875
Mailing address
1297 PROFESSIONAL DR STE 101, MYRTLE BEACH, SC 29577-5713
(843) 448-4820
(843) 448-9875
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7630
—
SC
Enumeration date
10/18/2006
Last updated
11/11/2025
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