Organization Active NPI

Luke Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Myrtle Beach, SC
National Provider Identifier
1245033083
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LUKE WELLNESS
Practice address
4325 Dick Pond Rd Ste B
Myrtle Beach, SC 29588-6810
Phone
(843) 256-6126
NPI assigned
Mar 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Malinda Paolozzi, DNP, APRN, PMHNP-BCNPI 1649073487
Title
Practice Owner
Phone
(843) 256-6126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4325 Dick Pond Rd Ste B
Myrtle Beach, SC 29588-6810

Mailing address

4325 Dick Pond Rd Ste B
Myrtle Beach, SC 29588-6810
Phone (843) 256-6126

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1245033083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 DICK POND RD STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886810",
            "telephone_number": "843-256-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 DICK POND RD STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886810",
            "telephone_number": "843-256-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "PAOLOZZI",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "843-256-6126",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.