HEALING WATERS HOLISTIC MENTAL WELLNESS, PLLC
NPI 1881583755
Nurse Practitioner - Psychiatric/Mental Health in Winston Salem, NC

Q: What is Healing Waters Holistic Mental Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 02, 2025

100 E MONMOUTH ST, WINSTON SALEM, NC 27127(336) 225-2528 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2025, Jul 2, 2025 (2 updates tracked since 2025).

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About Healing Waters Holistic Mental Wellness, Pllc NPPES

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

HEALING WATERS HOLISTIC MENTAL WELLNESS, PLLC (NPI 1881583755) is a healthcare organization registered as a psychiatric/mental health in Winston Salem, North Carolina and active in the NPI registry since July 2025. The organization lists Corey Roman, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1881583755

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameHEALING WATERS HOLISTIC MENTAL WELLNESS, PLLC

Location Address100 E MONMOUTH STWinston Salem, NC 27127-3006

Mailing Address100 E Monmouth StWinston Salem, NC 27127-3006 · (980) 549-0433

Phone(336) 225-2528

Organization SubpartNo

Authorized OfficialCorey RomanOwner/operator · (336) 225-2528

Enumeration DateJuly 2, 2025

Last NPPES UpdateJune 15, 20262 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1881583755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

100 E MONMOUTH ST, Winston Salem, NC 27127

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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

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 Healing Waters Holistic Mental Wellness, PLLC's NPI number?

The NPI number for Healing Waters Holistic Mental Wellness, PLLC is 1881583755. It was assigned to this organization in the NPPES registry on July 2, 2025.

Where is Healing Waters Holistic Mental Wellness, PLLC located?

Healing Waters Holistic Mental Wellness, PLLC is located at 100 E Monmouth St, Winston Salem, NC 27127. The listed phone number is (336) 225-2528.

What is Healing Waters Holistic Mental Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Healing Waters Holistic Mental Wellness, PLLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.