Abundant Grace Wellness, Llc

LBN: Abundant Grace Wellness, Llc
Abundant Grace Wellness, Llc is an health care organization with primary practice located at 2045 Maybank Hwy , Charleston SC 29412. The organization recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is the primary health care specialty. Abundant Grace Wellness, Llc can be contacted via phone (843) 801-0861, or through Wilson, Gloria Katherine via phone (843) 801-0861.

Contact Information

Primary practice address
2045 Maybank Hwy Charleston SC 29412
Phone: (843) 801-0861
Fax: (843) 768-1473
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Gloria Katherine Advanced Practice Registered Nurse (APRN)
Phone: (843) 801-0861

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1962092114
LBN Legal business name Abundant Grace Wellness, Llc
DBA Doing business as
Authorized official Wilson, Gloria Katherine Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2021
Last updated Sep 14th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962092114 NPPES
South Carolina Other 18678 STATE LICENSE

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