MEDICARE: GREEN HEART WELLNESS,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1306705736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREEN HEART WELLNESS,LLC

Provider Business Mailing Address
First Line	:	1826 COLD SPRINGS RD
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-7126
Country	:	US
Telephone Number	:	704-783-5288
Fax Number	:

Provider Business Practice Location Address
First Line	:	1826 COLD SPRINGS RD
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-7126
Country	:	US
Telephone Number	:	704-783-5288
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELINDA STEWART
Credential	:	LMBT
Telephone Number	:	704-783-5288

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “GREEN HEART WELLNESS,LLC ” Practice Location

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