TARA ALESIA TAYLOR (NPI# 1174153126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174153126 |
| Entity Type | Individual |
| Full Name | TARA ALESIA TAYLOR |
| Credential | MA, LPCA |
| Practice Address |
104 George Bishop Pkwy Myrtle Beach SC 29579-7335 |
| Mailing Address |
1203 Lexi Ln Myrtle Beach SC 29577-7742 |
| Practice Telephone | 8439036212 |
| Mailing Telephone | 8432830971 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
6988 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427549229 | Tara Anne Taylor | Nurse Practitioner | 730 North Summit Blvd, Suite 101-b, Frisco, CO 80443 | 2018-05-29 |
| 1790296846 | Tara Lynn Taylor | Social Worker | 1070 Acorn Bay Dr, Galloway, OH 43119-8505 | 2017-10-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1821401944 | Tara T Taylor | Social Worker | 153 Turriff Way, Cameron, NC 28326-5037 | 2014-06-05 |
| 1750653085 | Tara Avena Taylor | Registered Nurse | 3014 Smithfield Rd, Portsmouth, VA 23702-1814 | 2012-02-02 |
| 1154512374 | Tara Leigh Taylor | Physician Assistant | 1181 N Milford Rd Ste 207, Milford, MI 48381-1061 | 2007-08-05 |
| 1457489015 | Tara Nicole Taylor | Counselor | 1011 Sw C Ave, Lawton, OK 73501-4331 | 2007-03-02 |
| 1780298620 | Tara Lynne Taylor | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-09-08 |
| 1720637424 | Tara Lynn Taylor | Registered Nurse | 15455 65th Ave S, Tukwila, WA 98188-2534 | 2019-09-05 |
| 1811407513 | Tara Taylor | Counselor | 3424 Superior Ave, Sheboygan, WI 53081-1862 | 2017-10-07 |
| 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 |
| 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 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956090 | Susan M. Bulsza Lpc, LLC | Counselor | Grand Strand Business Center, 1293 Professional Drive, Suite 109, Myrtle Beach, SC 29577-5754 | 2020-06-08 |
| 1841827698 | Jessica Maiorana Milosky | Counselor | 679 Inland Dr, Myrtle Beach, SC 29588-6027 | 2020-03-23 |
| 1306479506 | Beyond Therapy | Counselor | 4209 Mayfair St Ste A, Myrtle Beach, SC 29577-5899 | 2020-02-16 |
| 1538630405 | Brittany Jeanne Tilberry | Counselor | 4325 Dick Pond Rd, Myrtle Beach, SC 29588-6810 | 2018-12-17 |
| 1497237101 | Ginny Page Counseling, LLC | Counselor | 1203 48th Avenue North, Suite 202, Myrtle Beach, SC 29577-5425 | 2018-08-30 |
| 1275025900 | Angela Marie Mckeone | Counselor | 9645 Scipio Ln, Myrtle Beach, SC 29588-7568 | 2018-05-30 |
| 1073026811 | Wanda C Lucas | Counselor | 1293 Professional Dr Ste D, Myrtle Beach, SC 29577-5754 | 2017-11-15 |
| 1922520634 | Kerry J Harrah | Counselor | 2461 Hunters Trl, Myrtle Beach, SC 29588-8412 | 2017-07-13 |
| 1669838348 | Meredith Pierson Goodman | Counselor | 1033 Shine Ave, Suite D, Myrtle Beach, SC 29577-1501 | 2016-01-11 |
| 1861873820 | Phillip Harper | Counselor | 3015 Old Bryan Dr Apt 8-4, Myrtle Beach, SC 29577-5859 | 2015-06-16 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
Please comment or provide details below to improve the information on TARA ALESIA TAYLOR.
| 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.