# WELCOME TO WELLNESS PSYCHIATRIC SERVICES

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

## Provider details

- **NPI number:** 1962316091
- **Authorized official:** STACEY MILLER PMHNP-BC (CEO, PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (607) 260-9005

## Contact information

- **Practice address:** 909 BIRCH GARDEN DR, LONGS, SC 29568-9507
- **Practice address phone:** (607) 260-9005
- **Practice address fax:** (607) 225-0040
- **Mailing address:** 909 BIRCH GARDEN DR, LONGS, SC 29568-9507
- **Mailing address phone:** (607) 260-9005
- **Mailing address fax:** (607) 225-0040

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2026
- **Last updated:** 09/28/2026
