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MADISON MOEN
NPI 1730757568
Counselor - Mental Health in Conway, SC

Active since June 17, 2021
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526(843) 347-5060(843) 347-3959 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Moen NPPES

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

MADISON MOEN (NPI 1730757568) is an individual mental health provider in Conway, South Carolina and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1730757568
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON MOEN
Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903
Mailing Address3672 Clay Pond Village Ln Apt 8Myrtle Beach, SC 29579-7407 · (843) 446-7184
Phone(843) 347-5060
Fax(843) 347-3959
Sole ProprietorNo
Enumeration DateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1730757568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
164 WACCAMAW MEDICAL PARK DR, 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.

MS. TAWAN BINNETTA ALSTON
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MONICA LYNN JOHNSON MSW
Social Worker
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
EMMETT MICHAEL LAMPKIN MD
Psychiatry & Neurology (Psychiatry)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JANNIE LANCE MORANT
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JOSEPH E DEKINE
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
DR. EDWARD H CONNOR PH.D.
Counselor (Professional)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
RICHARD MOORER DANTZLER
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MEGHAN NESMITH
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060

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 Madison Moen's NPI number?

The NPI number for Madison Moen is 1730757568. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Madison Moen located?

Madison Moen practices at 164 Waccamaw Medical Park Dr, Conway, SC 29526. The listed phone number is (843) 347-5060.

What is Madison Moen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Madison Moen was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.