Healthcare Provider Details

I. General information

NPI: 1821908187
Provider Name (Legal Business Name): HARMONIC HEALING LAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

50 CENTIMETERS DR
MAULDIN SC
29662-3277
US

IV. Provider business mailing address

50 CENTIMETERS DR
MAULDIN SC
29662-3277
US

V. Phone/Fax

Practice location:
  • Phone: 864-532-4402
  • Fax:
Mailing address:
  • Phone:
  • 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: MS. GABRIELLE MCPHAIL
Title or Position: OWNER/MANAGING
Credential: APRN, PMHNP-BC
Phone: 864-532-4402