Provider Demographics
NPI:1174189187
Name:CAROLINA HEALTH AND RECOVERY
Entity Type:Organization
Organization Name:CAROLINA HEALTH AND RECOVERY
Other - Org Name:CAROLINA HEALTH AND RECOVERY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:W
Authorized Official - Last Name:JOSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPCS, LACS
Authorized Official - Phone:843-467-9538
Mailing Address - Street 1:1113 44TH AVE N STE 100
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-5780
Mailing Address - Country:US
Mailing Address - Phone:843-467-9538
Mailing Address - Fax:
Practice Address - Street 1:1113 44TH AVE N STE 100
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-5780
Practice Address - Country:US
Practice Address - Phone:184-346-7953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty