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

Healing Waters Holistic Mental Wellness, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1881583755

Healing Waters Holistic Mental Wellness, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Winston Salem, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Monmouth St
Winston Salem, NC 27127-3006
Phone: (336) 225-2528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1881583755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corey Roman — Owner/Operator · (336) 225-2528
NPI enumeratedJuly 2, 2025
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address100 E Monmouth St, Winston Salem, NC 27127-3006

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