Provider Demographics
NPI:1366220634
Name:HEYWARD WHITE, BELLINDA
Entity type:Individual
Prefix:MRS
First Name:BELLINDA
Middle Name:
Last Name:HEYWARD WHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SAMS POINT RD STE 209
Mailing Address - Street 2:
Mailing Address - City:LADYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29907-1589
Mailing Address - Country:US
Mailing Address - Phone:843-227-0912
Mailing Address - Fax:
Practice Address - Street 1:15 SAMS POINT RD STE 209
Practice Address - Street 2:
Practice Address - City:LADYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29907-1589
Practice Address - Country:US
Practice Address - Phone:843-227-0912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)