Provider Demographics
NPI:1902673304
Name:RHEMA HEALING AND WELLNESS, LLC
Entity Type:Organization
Organization Name:RHEMA HEALING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-250-1998
Mailing Address - Street 1:114 STAMPORT CIR
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-9389
Mailing Address - Country:US
Mailing Address - Phone:803-250-1998
Mailing Address - Fax:
Practice Address - Street 1:401 WESTERN LN STE 9B1
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7953
Practice Address - Country:US
Practice Address - Phone:803-250-1998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health