Healthcare Provider Details

I. General information

NPI: 1295651115
Provider Name (Legal Business Name): NB WELLNESS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 E EVANS ST STE 208
FLORENCE SC
29506-5524
US

IV. Provider business mailing address

181 E EVANS ST STE 208
FLORENCE SC
29506-5524
US

V. Phone/Fax

Practice location:
  • Phone: 843-496-8279
  • Fax:
Mailing address:
  • Phone: 843-496-8279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. NEVA MONETTE BAILEY
Title or Position: OWNER
Credential: LPC
Phone: 843-496-8279