DALE PHILLIP COOPER (NPI# 1356650030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356650030 |
| Entity Type | Individual |
| Full Name | DALE PHILLIP COOPER |
| Credential | CACI, CACII |
| Practice Address |
510 E Carolina Ave Hartsville SC 29550-4312 |
| Mailing Address |
1623 Shady Oak Ln Florence SC 29506-9112 |
| Practice Telephone | 8433324156 |
| Mailing Telephone | 8436692496 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0909044 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023417771 | Dale Cooper | Physical Therapy Assistant | 28 Peachtree Ln, Madison, MS 39110-7452 | 2014-08-19 |
| 1184244634 | Dale Keith Cooper | Behavioral Analyst | 5208 W Avalon Dr, Phoenix, AZ 85031-3958 | 2020-04-24 |
| 1447292420 | Dale Cooper | Physician Assistant | 6677 W Thunderbird Rd, Ste A124, Glendale, AZ 85306-3709 | 2006-06-12 |
| Street Address |
510 E CAROLINA AVE |
| City | HARTSVILLE |
| State | SC |
| Zip Code | 29550-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477617876 | Rubicon, Inc. | Community/Behavioral Health | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2006-12-20 |
| 1477103620 | Andrea D Pulling | Student in an Organized Health Care Education/Training Program | 510 E Carolina Ave, Hartsville, SC 29550-4396 | 2019-09-18 |
| 1922654177 | Julia Shannon Barbour | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4396 | 2019-08-14 |
| 1366920134 | Kelly Hutchinson | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2018-08-02 |
| 1861983116 | Heather Nicole Clark | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4396 | 2018-05-22 |
| 1154829612 | Dorothy Matthews Selmon | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2018-01-30 |
| 1861940587 | Morgan North | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2016-09-12 |
| 1942601224 | Antoryia Wilkins | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2014-09-05 |
| 1467865675 | Allison Jessop Jahries | Social Worker | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2014-06-05 |
| 1518370956 | Corine Bakazan | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2014-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| 1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
| 1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
| 1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
| 1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| Find all providers in zip 29550 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639419641 | Kashun Belton | Counselor | 510 E. Carolina Ave, Hartsville, SC 29550 | 2013-02-28 |
| 1023366804 | Eric Radcliff | Counselor | 501 E. Carolina Ave., Hartsville, SC 29550 | 2012-08-27 |
| 1922654177 | Julia Shannon Barbour | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4396 | 2019-08-14 |
| 1083126791 | Brittany Cranford | Counselor | 1451 Retail Row, Hartsville, SC 29550-4258 | 2017-11-02 |
| 1730691791 | Maria Roundtree | Counselor | 1451 Retail Row, Hartsville, SC 29550-4258 | 2017-10-31 |
| 1417469461 | Katisha Mcbride | Counselor | 1451 Retail Row, Hartsville, SC 29550-4258 | 2017-10-31 |
| 1942712906 | Natashia Funderburk | Counselor | 1451 Retail Row, Hartsville, SC 29550-4258 | 2017-10-31 |
| 1861940587 | Morgan North | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2016-09-12 |
| 1336578889 | Karen Blackwell-boyd | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2013-11-05 |
| 1861837510 | Lewis Newell Foster | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2013-05-08 |
| Find all providers in HARTSVILLE | ||||
| City | HARTSVILLE |
| Zip Code | 29550 |
Please comment or provide details below to improve the information on DALE PHILLIP COOPER.
| 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.