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MADELINE GRACE LARSON
NPI 1437859675
Counselor - Addiction (Substance Use Disorder) in Conway, SC

Active since March 07, 2023
2404 WISE RD, CONWAY, SC 29526(843) 365-8884 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madeline Grace Larson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELINE GRACE LARSON (NPI 1437859675) is an individual addiction (substance use disorder) provider in Conway, South Carolina and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1437859675
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMADELINE GRACE LARSON
Location Address2404 WISE RDConway, SC 29526-5521
Mailing Address2404 Wise RdConway, SC 29526-5521 · (843) 365-8884
Phone(843) 365-8884
Sole ProprietorNo
Enumeration DateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1437859675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselorTaxonomy 101Y00000X
2404 WISE RD, Conway, SC 29526
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATOYA LAWRENCE
Counselor
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
SABRINA JELKS LMSW
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
HANNA GRACE HARDEE
Counselor
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MR. STEPHEN BRADLEY COOK M.ED.
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
CHRISTIAN BERTLEMANN
Counselor
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MATTHEW PARTON MS, ADC-IP
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MS. ERIKA POMERANTZ
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MRS. CHRISTINE WRIGHT RN-BC
Registered Nurse (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeline Larson's NPI number?

The NPI number for Madeline Larson is 1437859675. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Madeline Larson located?

Madeline Larson practices at 2404 Wise Rd, Conway, SC 29526. The listed phone number is (843) 365-8884.

What is Madeline Larson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Madeline Larson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.