Healthcare Provider Details

I. General information

NPI: 1023998861
Provider Name (Legal Business Name): ABIDE AND HEAL WELLNESS SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 URBANO LN
GOOSE CREEK SC
29445-3671
US

IV. Provider business mailing address

507 FRONT ST UNIT 643
SUMMERVILLE SC
29486-7919
US

V. Phone/Fax

Practice location:
  • Phone: 843-619-7131
  • Fax:
Mailing address:
  • Phone: 843-619-7131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MRS. KALUNDIA BROWN
Title or Position: OWNER/CEO
Credential: BSN RN
Phone: 843-619-7131