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POWDERSVILLE WELLNESS LLC NPI 1710502455


NPI Information

NPI: 1710502455
Provider Name: POWDERSVILLE WELLNESS, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 42D0665587

Address:
215 SILOAM RD
EASLEY, SC
ZIP 29642
Phone: (864) 729-8213
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POWDERSVILLE WELLNESS, LLC is a health service clinic center in Easley, SC. POWDERSVILLE WELLNESS, LLC NPI is 1710502455. The provider is registered as an organization entity type.

The provider's business location address is:

215 SILOAM RD
EASLEY, SC
ZIP 29642-214
Phone: (864) 729-8213
Fax: (864) 729-8559

The provider's authorized official is Andrew Dean Herman .
The authorized official title is Owner and has the following contact phone number (864) 729-8213.

The CLIA number assigned to this NPI record is 42D0665587 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2020 and was last updated on 6/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.