MEDICARE: HEALTHY HEALING 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1457208753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY HEALING LLC

Provider Business Mailing Address
First Line	:	6650 RIVERS AVE STE 100
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-4809
Country	:	US
Telephone Number	:	843-493-7947
Fax Number	:	843-790-1778

Provider Business Practice Location Address
First Line	:	6650 RIVERS AVE STE 100
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-4809
Country	:	US
Telephone Number	:	843-493-7947
Fax Number	:	843-790-1778

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ANNALILY B WILLIAMS
Credential	:	PMHNP
Telephone Number	:	843-493-7947

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

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