Healthcare Provider Details

I. General information

NPI: 1316652795
Provider Name (Legal Business Name): ABRIJA HOLISTIC CHATEAU' HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 WILLIS ST S
YEMASSEE SC
29945-2420
US

IV. Provider business mailing address

37 WILLIS ST S
YEMASSEE SC
29945-2420
US

V. Phone/Fax

Practice location:
  • Phone: 843-476-6210
  • Fax:
Mailing address:
  • Phone: 843-476-6210
  • 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: DR. STEPHANIE HAMILTON
Title or Position: CEO
Credential: DNM, LIFE COACH
Phone: 843-476-6210