Licensed 2 Heal Counseling Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LICENSED 2 HEAL COUNSELING CENTER, LLC

Practice address

648 S Jones Ave Ste B
Rock Hill, SC 29730-5841

Phone

(704) 909-1000

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Quadasha McIlwaine, LISW-CPNPI 1447824677

Title

Owner

Phone

(704) 909-1000

Specialties & licenses 1

Addresses

Locations

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.

• Quadasha D McIlwaine, MSW, LCSW, LISW-CP

  • Clinical Social Worker
  • Rock Hill, SC
  • NPI 1447824677
  NPD Authorized official

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1851091896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 RUDD CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 S JONES AVE STE B",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305841",
            "telephone_number": "704-909-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICENSED 2 HEAL COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "MCILWAINE",
        "authorized_official_first_name": "QUADASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-909-1000",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitley Elizabeth Leviner
• Marni Allison Levy-Scanlon, O.D.
• Kelly Daniels Lewis, M.ED., LPC
• Lorna Lewis
• Mary Margaret Liaghat, FNP
• Life Provisions, LLC.
• Quaneshe Liggins
• Light Warriors Counseling, LLC
• Lighted Pathways, Inc.
• Chiquita Lightner

• Clinical Social Worker in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.