Blue Heron Wellness LLC
NPI #1679063424 in Lexington, South Carolina
Provider Information
- NPI Number
- 1679063424
- Entity Type
- Organization
- Organization Name
- Blue Heron Wellness LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 17, 2018
- Last Updated
- Jul 20, 2021
Practice Location
- Address
- 719 S LAKE DR
- City
- Lexington
- State
- South Carolina
- ZIP Code
- 29072-3432
- Phone
- (803) 609-7792
Authorized Official
- Name
- RENEA CHRISTINE MABLE, LISW-CP
- Title
- OWNER
- Phone
- (803) 429-9065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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