Healthcare Provider Details

I. General information

NPI: 1306756291
Provider Name (Legal Business Name): WENDY ANN WALSH BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 HIGHMARKET ST
GEORGETOWN SC
29440-3531
US

IV. Provider business mailing address

1495 BRICK CHIMNEY RD
GEORGETOWN SC
29440-5752
US

V. Phone/Fax

Practice location:
  • Phone: 843-520-8598
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: