Healthcare Provider Details

I. General information

NPI: 1649195595
Provider Name (Legal Business Name): HAILEE MCWHORTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1653 E MAIN ST
EASLEY SC
29640-3791
US

IV. Provider business mailing address

118 STREATER LN
ANDERSON SC
29625-6225
US

V. Phone/Fax

Practice location:
  • Phone: 888-711-2896
  • Fax:
Mailing address:
  • Phone: 888-711-2896
  • Fax: 864-306-8513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: