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NUTRITIONAL & PSYCHOLOGICAL WELLNESS, LLC
NPI 1821766007
Counselor - Mental Health in Greenville, SC

Active since September 01, 2021
107 E PARK AVE, GREENVILLE, SC 29601(864) 735-0842 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nutritional & Psychological Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUTRITIONAL & PSYCHOLOGICAL WELLNESS, LLC (NPI 1821766007) is a healthcare organization registered as a mental health in Greenville, South Carolina and active in the NPI registry since September 2021. The organization lists Audrey Suzanne Connell, Owner, Licensed Professional Counse, as its authorized official.

NPPES Registry Identity

NPI1821766007
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameNUTRITIONAL & PSYCHOLOGICAL WELLNESS, LLC
Location Address107 E PARK AVEGreenville, SC 29601-1631
Mailing Address69 Sikes CirMauldin, SC 29662-2590 · (716) 628-8250
Phone(864) 735-0842
Organization SubpartNo
Authorized OfficialAudrey Suzanne ConnellOwner, Licensed Professional Counse · (864) 735-0842
Enumeration DateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1821766007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
107 E PARK AVE, Greenville, SC 29601
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Other Identifiers 3

Other1376895821SC · Cigna
Medicaid1376895821SC
Other1376895821SC · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE TRANSITIONS
Social Worker (Clinical)
107 E PARK AVE
GREENVILLE, SC 29601
Greenville County (864) 376-6634
MARIE FRANCES DUNCAN LMFT
Marriage & Family Therapist
107 E PARK AVE
GREENVILLE, SC 29601
Greenville County (864) 420-2540
CHAD JANES DC
Chiropractor
107 E PARK AVE
GREENVILLE, SC 29601
Greenville County (810) 623-2643
DR. PAUL RONALD RASMUSSEN PHD
Psychologist (Clinical)
107 E PARK AVE
GREENVILLE, SC 29601
Greenville County (864) 370-2262
JEFF BERNAT PHD, P.C.
Psychologist (Clinical)
107 E PARK AVE
GREENVILLE, SC 29601
Greenville County (864) 990-5527
WILLOW TREE COUNSELING LLC
Social Worker (Clinical)
107 E PARK AVE
GREENVILLE, SC 29601
Greenville County (864) 729-4184

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nutritional & Psychological Wellness, LLC's NPI number?

The NPI number for Nutritional & Psychological Wellness, LLC is 1821766007. It was assigned to this organization in the NPPES registry on September 1, 2021.

Where is Nutritional & Psychological Wellness, LLC located?

Nutritional & Psychological Wellness, LLC is located at 107 E Park Ave, Greenville, SC 29601. The listed phone number is (864) 735-0842.

What is Nutritional & Psychological Wellness, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nutritional & Psychological Wellness, LLC was last updated on September 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.