Therapeutic Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THERAPEUTIC WELLNESS LLC

Practice address

14420 Maritime Dr
Lancaster, SC 29720-0256

Phone

(803) 762-0822

NPI assigned

May 24, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Quintara HicksNPI 1205572260

Title

Owner

Phone

(919) 809-9024

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quintara Hicks, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, SC
  • NPI 1205572260
  Medicare reassignment Care Compare group NPD Authorized official
• Leeann Shotts Ahders

  • Social Worker
  • West Columbia, SC
  • NPI 1821806712
  Medicare reassignment Care Compare group NPD
• Tawana N Hayes-Newton, M.A., LPC

  • Professional Counselor
  • Columbia, SC
  • NPI 1023493194
  Medicare reassignment Care Compare group NPD
• Truemiller Norman, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1639684343

  Multi-Specialty, SC

  Medicare reassignment Care Compare group NPD
• Christina Phillips

  • Mental Health Counselor
  • Tulsa, OK
  • NPI 1750676169

  SC

  Medicare reassignment Care Compare group NPD
• Tiffany Deanna Johnson, LPC

  • Professional Counselor
  • Columbia, SC
  • NPI 1457015612
  Medicare reassignment NPD
• Sochhatta Katherine Man

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1841467768
  Medicare reassignment NPD
• Stephanie L McKenny, LPC

  • Professional Counselor
  • Cayce, SC
  • NPI 1184395584
  Medicare reassignment NPD
• Alexandria Turner, LISW

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1851071039
  Medicare reassignment NPD
• Michelle J Whitlow-Blanding, LPC

  • Professional Counselor
  • Columbia, SC
  • NPI 1427720283
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1144060476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 MARITIME DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200256",
            "telephone_number": "803-762-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 MARITIME DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200256",
            "telephone_number": "803-762-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "QUINTARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-809-9024"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janay Thompson
• Douglas L. Tiedt, MD
• Amanda Tilstra
• Andrea Tivoli, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.