NUTRITIONAL & PSYCHOLOGICAL WELLNESS LLC NPI 1821766007

NPI Information

NPI: 1821766007
Provider Name: NUTRITIONAL & PSYCHOLOGICAL WELLNESS, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
107 E PARK AVE
GREENVILLE, SC
ZIP 29601
Phone: (864) 735-0842
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NUTRITIONAL & PSYCHOLOGICAL WELLNESS, LLC is a mental health counselor in Greenville, SC. NUTRITIONAL & PSYCHOLOGICAL WELLNESS, LLC NPI is 1821766007. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 E PARK AVE
GREENVILLE, SC
ZIP 29601-631
Phone: (864) 735-0842

The provider's authorized official is Audrey Suzanne Connell .
The authorized official title is Owner, Licensed Professional Counse and has the following contact phone number (864) 735-0842.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 9/1/2021.

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
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1376895821	OTHER	SOUTH CAROLINA	CIGNA
2	1376895821	MEDICAID	SOUTH CAROLINA
3	1376895821	OTHER	SOUTH CAROLINA	BLUE CROSS BLUE SHIELD

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: 11/14/2023

NPI Synchronization or Removal

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