Organization Active NPI

The Healing Collective, LLC

  • Clinical Social Worker
  • Fort Mill, SC
National Provider Identifier
1902204639
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10695 Issued in SC
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

Updated by the provider on Nov 8, 2022

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.