Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madeline Grace Larson

Individual provider Counselor · NPI 1437859675

Madeline Grace Larson is a Counselor in Conway, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

2404 Wise Rd
Conway, SC 29526-5521
Phone: (843) 365-8884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Counselor Taxonomy 101Y00000X

Record details

NPI number1437859675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2023
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

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