Active NPI
The Healing Collective, LLC
- Clinical Social Worker
- Fort Mill, SC
National Provider Identifier
1902204639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10695
- Legal business name
- THE HEALING COLLECTIVE, LLC
- Practice address
- 115 Stone Village Dr Ste E
Fort Mill, SC 29708-6489 - Phone
- (803) 216-1604
- NPI assigned
- Dec 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber Whitaker Tolbert, LCSW
- Title
- Owner/President
- Phone
- (864) 276-1788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10695 | SC | Primary |
Addresses
Primary practice location
115 Stone Village Dr Ste E
Fort Mill, SC 29708-6489
Mailing address
5240 Norway LN
Rock Hill, SC 29732-8398
Phone (864) 276-1788
Other practice location 1
15720 Brixham Hill Ave
Charlotte, NC 28277-4651
Phone (803) 216-1604
National Provider Directory
National Provider DirectoryLocations
975 Market St
Ste 211
Fort Mill, SC 29708
Phone (864) 276-1788
1201 Carolna Place Dr
Fort Mill, SC 29708
Phone (704) 308-2557
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Fort Mill, SC
- NPI 1609162403
-
- Clinical Social Worker
- Fort Mill, SC
- NPI 1285414995
-
- Social Worker
- Fort Mill, SC
- NPI 1245702604
-
- Clinical Social Worker
- Gastonia, NC
- NPI 1477932846
-
- Clinical Social Worker
- Rock Hill, SC
- NPI 1316860422
-
- Mental Health Counselor
- Davidson, NC
- NPI 1942045398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667865600000",
"number": "1902204639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 NORWAY LN",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297328398",
"telephone_number": "864-276-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 STONE VILLAGE DR STE E",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086489",
"telephone_number": "803-216-1604"
}
],
"practiceLocations": [
{
"address_1": "15720 Brixham Hill Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282774651",
"country_code": "US",
"telephone_number": "803-216-1604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE HEALING COLLECTIVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-11",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A",
"authorized_official_last_name": "TOLBERT",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "WHITAKER",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "864-276-1788",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "10695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.