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Coastal Addiction Recovery LLC

Addiction Medicine (Psychiatry & Neurology) Physician in North Charleston, SC · enumerated 2018 · authorized official Jodi Moore, Executive Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942701792

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Addiction Recovery LLC
Practice address 2179 Ashley Phosphate Rd Ste B, North Charleston, SC, 29406
Phone (843) 718-3168
Enumeration date Feb 27, 2018
Last updated in NPPES Feb 27, 2018

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary
2084A0401X Addiction Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Primary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2084P0802X Addiction Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Jodi Moore
Title Executive Administrator
Phone (864) 303-2499

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Coastal Addiction Recovery LLC?
The NPI for Coastal Addiction Recovery LLC is 1942701792, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Coastal Addiction Recovery LLC?
NPPES lists Jodi Moore (Executive Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-02-27.