Healthcare Provider Details

I. General information

NPI: 1073476768
Provider Name (Legal Business Name): SEASCAPE INSIGHTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1293 PROFESSIONAL DR STE A
MYRTLE BEACH SC
29577-5754
US

IV. Provider business mailing address

5204 NIGHTINGALE DR
MYRTLE BEACH SC
29577-5893
US

V. Phone/Fax

Practice location:
  • Phone: 843-284-3607
  • Fax: 843-839-9831
Mailing address:
  • Phone: 843-284-3607
  • Fax: 843-839-9831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY GIBBS
Title or Position: OWNER/OPERATOR
Credential: LPES
Phone: 843-284-3607