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NPI Code Detail

MEDICARE: THE HEALING WELL LLC

MEDICARE: THE HEALING WELL 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
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11699464602OTHERSCNPI

General Provider Information

NPI Number : 1497604250
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HEALING WELL LLC
Provider Business Mailing Address
First Line : 301 KELLWOOD WAY
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-7578
Country : US
Telephone Number : 803-348-8282
Fax Number : 803-381-9285
Provider Business Practice Location Address
First Line : 301 KELLWOOD WAY
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-7578
Country : US
Telephone Number : 803-348-8282
Fax Number : 803-381-9285
Authorized Official
Title or Position : OWNER
Name : MRS. SARAH KATHERINE-BRACKIN ZELL
Credential : LISW-CP
Telephone Number : 803-348-8282
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

Similar Medicare Providers

1699464602 — MRS. SARAH KATHERINE-BRACKIN ZELL LISW-CP
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Directions to “THE HEALING WELL LLC ” Practice Location

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