TODD JAMES COLOSIMO SR.


Address: 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335
Phone: 8439036212

TODD JAMES COLOSIMO SR. (NPI# 1619578390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619578390
Entity Type Individual
Full Name TODD JAMES COLOSIMO SR.
Credential CADC
Practice Address 104 George Bishop Pkwy
Myrtle Beach
SC 29579-7335
Mailing Address 863 Sultana Dr
Little River
SC 29566-8511
Practice Telephone 8439036212
Mailing Telephone 9102120715
Enumeration Date 2020-11-08
Last Update Date 2020-11-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CADC-26817 NC Behavioral Health & Social Service Providers

Office Location

Street Address 104 GEORGE BISHOP PKWY
City MYRTLE BEACH
State SC
Zip Code 29579-7335

Providers in the same location

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
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
1336706605 Danielle Larson Counselor 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 2019-05-22
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City MYRTLE BEACH
Zip Code 29579

Improve Information

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Dataset Information

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.

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