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General NPI Number Information
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NPI Number | 1831708296
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Entity Type | Organization
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Legal Business Name | THE INTEGRATED WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 32 E CALHOUN ST STE A
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City | SUMTER
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State | SC
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Zip | 29150-4371
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Country | US
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Telephone | 803-792-9002
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Fax | 803-792-9006
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Provider Business Mailing Address
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Address Line | PO BOX 3149
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City | SUMTER
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State | SC
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Zip | 29151-3149
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Country | US
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Telephone | 803-792-9003
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Fax | 803-792-9006
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Authorized Official
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Title or Position | CLINIC ADMINISTRATOR
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Name | FELICIA MINNIETTE HEYWARD
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Credential | PMHNP-BC, FNP-B
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Telephone | 803-792-9002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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