Healthcare Provider Details

I. General information

NPI: 1518639095
Provider Name (Legal Business Name): A HEALING PRESENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2021
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 BYPASS 72 NW
GREENWOOD SC
29649-1203
US

IV. Provider business mailing address

311 PINE TREE DR
GREENWOOD SC
29649-9119
US

V. Phone/Fax

Practice location:
  • Phone: 864-519-0054
  • Fax: 864-383-1066
Mailing address:
  • Phone: 864-993-1364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CAITLIN SOWELL JENNINGS
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: PMHNP
Phone: 864-519-0054