Organization
BELLA VITA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WHETZEL NP (PRESIDENT/PROVIDER)
(336) 266-3041
Entity
Organization
Contact information
Practice address
235 COMMERCE DR UNIT 301, PAWLEYS ISLAND, SC 29585-6178
(843) 314-0035
Mailing address
235 COMMERCE DR UNIT 301, PAWLEYS ISLAND, SC 29585-6178
(843) 314-0035
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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