Organization Active NPI

L&M Holistic Healthcare Services

  • Primary Care Clinic/Center
  • Florence, SC
National Provider Identifier
1356088710
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
L&M HOLISTIC HEALTHCARE SERVICES
Practice address
491 W Cheves St Ste E
Florence, SC 29501-4407
Phone
(843) 610-4163
Fax
(843) 773-6204
NPI assigned
May 17, 2022
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Mrs. Celista LC McKenzie, NURSE PRACTITIONERNPI 1053782458
Title
FNP
Phone
(843) 610-4163

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

491 W Cheves St Ste E
Florence, SC 29501-4407

Mailing address

PO Box 387
Olanta, SC 29114-0387
Phone (843) 687-2509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230118000277 SC Part B Supplier - Clinic/Group Practice 5799156469 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

491 W Cheves St
Ste E
Florence, SC 29501
Phone (843) 610-4163

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1356088710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "OLANTA",
            "state": "SC",
            "postal_code": "291140387",
            "telephone_number": "843-687-2509",
            "fax_number": "843-773-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 W CHEVES ST STE E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014407",
            "telephone_number": "843-610-4163",
            "fax_number": "843-773-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&M HOLISTIC HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "CELISTA",
        "authorized_official_middle_name": "LC",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "843-610-4163",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.