# HEALING WATERS HOLISTIC MENTAL WELLNESS, PLLC

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

## Provider details

- **NPI number:** 1881583755
- **Authorized official:** COREY ROMAN NURSE PRACTITIONER (OWNER/OPERATOR)
- **Authorized official phone:** (336) 225-2528

## Contact information

- **Practice address:** 100 E MONMOUTH ST, WINSTON SALEM, NC 27127-3006
- **Practice address phone:** (336) 225-2528
- **Mailing address:** 100 E MONMOUTH ST, WINSTON SALEM, NC 27127-3006
- **Mailing address phone:** (980) 549-0433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2025
- **Last updated:** 06/15/2026