Healthcare Provider Details
I. General information
NPI: 1184978751
Provider Name (Legal Business Name): HEALTHIER HEALING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/05/2012
Last Update Date: 11/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2201 BOUNDARY ST SUITE 208 CAROLINA COVE EXECUTIVE CENTER
BEAUFORT SC
29902-3860
US
IV. Provider business mailing address
PO BOX 4256
BEAUFORT SC
29903-4256
US
V. Phone/Fax
- Phone: 843-770-9947
- Fax:
- Phone: 843-770-9947
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
RENEE
EVADNE
SUTTON
Title or Position: INTERFAITH MINISTER
Credential: REV.
Phone: 843-770-9947