DANIELLE LARSON (NPI# 1336706605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336706605 |
Entity Type | Individual |
Full Name | DANIELLE LARSON |
Credential | LMSW |
Practice Address |
104 George Bishop Pkwy Myrtle Beach SC 29579-7335 |
Mailing Address |
407 4th Ave N Apt E Myrtle Beach SC 29577-4000 |
Practice Telephone | 8439036212 |
Mailing Telephone | 7852202943 |
Enumeration Date | 2019-05-22 |
Last Update Date | 2019-05-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790286235 | Danielle Ione Larson | Behavioral Analyst | 2595 N Cramer St Apt 204, Milwaukee, WI 53211-3914 | 2018-02-21 |
1487152658 | Danielle Jean Larson | Nurse Practitioner | 255 Cedar Park Cir, Twin Falls, ID 83301-8911 | 2018-01-23 |
1124645387 | Danielle Lee Larson | Counselor | 1709 Bragaw St, Anchorage, AK 99508-3436 | 2020-07-02 |
1255816559 | Danielle N Larson | Pharmacist | 312 9th St Sw, Waverly, IA 50677-2999 | 2018-10-02 |
1689154171 | Danielle M Larson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401-4189 | 2018-08-15 |
1386139335 | Danielle Larson | Counselor | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2018-06-22 |
1518416502 | Danielle Larson | Social Worker | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2016-10-01 |
1821466236 | Danielle Larson | Speech-Language Pathologist | 6608 Raytown Rd, Raytown, MO 64133-5240 | 2015-09-02 |
1003229980 | Danielle Larson | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2014-06-09 |
1528487972 | Danielle Nicole Larson | Psychiatry & Neurology | 240 E Huron St, Mcgaw Medical Center of Northwestern Univsersity, Chicago, IL 60611-2909 | 2014-04-14 |
Street Address |
104 GEORGE BISHOP PKWY |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29579-7335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720302144 | Center of Hope of Myrtle Beach, LLC | Pharmacist | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2010-03-15 |
1619578390 | Todd James Colosimo Sr. | Counselor | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-11-08 |
1659981249 | Joanne Susan Rice | Registered Nurse | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-08-07 |
1679181812 | Paula H. Carralero | Registered Nurse | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-07-14 |
1114541810 | Stephanie Ann Trombley | Registered Nurse | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-05-29 |
1932733789 | Kimberly Renee Hutchens | Licensed Practical Nurse | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-03-01 |
1174153126 | Tara Alesia Taylor | Counselor | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-01-17 |
1619528957 | Marcia Auclair | Counselor | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2019-09-27 |
1841840147 | Kimberly Ann Hayes | Counselor | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2019-09-18 |
1366003923 | Melissa Renee Foley | Licensed Practical Nurse | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2019-06-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
Find all providers in zip 29579 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184121550 | Michele P Smrekar | Counselor | 1089 Weslin Creek Dr, Myrtle Beach, SC 29588-7553 | 2018-04-11 |
1245603976 | Robin Reynolds | Counselor | 207 Hearthstone Ct, Myrtle Beach, SC 29588-6145 | 2015-11-03 |
1942632526 | Spencer Walker Josey | Counselor | 1304-a Azalea Cou, Myrtle Beach, SC 29577 | 2013-08-06 |
1013354612 | Heather Partridge | Counselor | 1053 London St, Myrtle Beach, SC 29577-5760 | 2013-05-23 |
1932330784 | Wilmington Treatment Center Myrtle Beach | Counselor | 1551 21st Ave N, Myrtle Beach, SC 29577-7494 | 2009-07-28 |
1295952232 | Carol Ann Fletcher | Counselor | 901 N. Kings Highway, Myrtle Beach, SC 29577 | 2007-04-19 |
1386869337 | 836 Inc | Counselor | 1113 44th Avenue North, Suite 100, Myrtle Beach, SC 29577 | 2007-04-16 |
1073607602 | Kathy T Heustess | Counselor | 901 North Kings Highway, Myrtle Beach, SC 29577 | 2006-10-03 |
1265532527 | Crystal D Bush | Counselor | 3236 Holmestown Road, Suite E1, Myrtle Beach, SC 29588-9138 | 2006-09-25 |
1265421937 | Kellie Mcdougall Lewis | Counselor | 9403 Highway 707 Ste B, Myrtle Beach, SC 29588-7758 | 2005-10-17 |
Find all providers in MYRTLE BEACH |
City | MYRTLE BEACH |
Zip Code | 29579 |
Please comment or provide details below to improve the information on DANIELLE LARSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.