Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Heron Wellness LLC

Organization Clinical Social Worker · NPI 1679063424

Blue Heron Wellness LLC is a Clinical Social Worker in Lexington, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

719 S Lake Dr
Lexington, SC 29072-3432
Phone: (803) 609-7792
Fax: (803) 816-9058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10640 (SC)

Record details

NPI number1679063424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renea Mable — Owner · (803) 429-9065
NPI enumeratedMay 17, 2018
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021
Mailing address419 Firebridge Dr, Chapin, SC 29036-7639

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