Organization Active NPI

Sonoran Concepts, LLC

  • Community/Behavioral Health Agency
  • Myrtle Beach, SC
National Provider Identifier
1902045024
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SONORAN CONCEPTS, LLC
Practice address
1304 Azalea CT
Suite C
Myrtle Beach, SC 29577
Phone
(843) 446-0541
NPI assigned
Feb 12, 2009
Last updated
Feb 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Melissa Tyler Todd, NCC,CACII,LPC
Title
Professional Counselor
Phone
(843) 446-0541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1304 Azalea CT
Suite C
Myrtle Beach, SC 29577

Mailing address

1304 Azalea CT
Suite C
Myrtle Beach, SC 29577
Phone (843) 446-0541

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1902045024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 AZALEA CT",
            "address_2": "SUITE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-446-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 AZALEA CT",
            "address_2": "SUITE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-446-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "843-446-0541",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NCC,CACII,LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.