Healthcare Provider Details

I. General information

NPI: 1194392837
Provider Name (Legal Business Name): ISLAND COUNSELING AND BEHAVIORAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14361 OCEAN HWY STE 306
PAWLEYS ISLAND SC
29585-4806
US

IV. Provider business mailing address

297 LUMBEE CIR
PAWLEYS ISLAND SC
29585-4386
US

V. Phone/Fax

Practice location:
  • Phone: 843-314-1379
  • Fax:
Mailing address:
  • Phone: 843-314-1379
  • Fax: 854-600-1194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMES TODD MCGAHEY
Title or Position: MEMBER
Credential: ED.D., LPC
Phone: 843-314-1379