Provider Demographics
NPI:1467231795
Name:THE COUNSELING CENTER AT SEACOAST
Entity Type:Organization
Organization Name:THE COUNSELING CENTER AT SEACOAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE PASTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR
Authorized Official - Phone:843-881-2100
Mailing Address - Street 1:713 LONG POINT RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8226
Mailing Address - Country:US
Mailing Address - Phone:843-881-2100
Mailing Address - Fax:
Practice Address - Street 1:713 LONG POINT RD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-8226
Practice Address - Country:US
Practice Address - Phone:843-881-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEACOAST CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)