Healthcare Provider Details

I. General information

NPI: 1861282865
Provider Name (Legal Business Name): COASTAL CALM PSYCHIATRY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2734 BEAVER RUN BLVD STE B297
SURFSIDE BEACH SC
29575-5392
US

IV. Provider business mailing address

2734 BEAVER RUN BLVD STE B297
SURFSIDE BEACH SC
29575-5392
US

V. Phone/Fax

Practice location:
  • Phone: 843-310-2689
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: RICHARD SCHULER
Title or Position: CEO
Credential:
Phone: 843-310-2689