# LIFE EXPRESSIONS HEALTH AND WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023777190
- **Authorized official:** DR. TAWANA NAYDEAN ROBERSON DC (CHIROPRACTOR)
- **Authorized official phone:** (803) 354-8281

## Contact information

- **Practice address:** 2638 TWO NOTCH RD STE 204, COLUMBIA, SC 29204-1454
- **Practice address phone:** (803) 830-2227
- **Mailing address:** 359 SUMMERS TRACE DR, BLYTHEWOOD, SC 29016-8388
- **Mailing address phone:** (803) 830-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2021
- **Last updated:** 12/15/2021