| Greenville Therapy Center Pa | |
|
3519 Pelham Road Suite 103 Greenville SC 29615 | |
| (864) 234-6778 | |
| (864) 234-2474 |
| Full Name | Greenville Therapy Center Pa |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3519 Pelham Road, Greenville, South Carolina |
| Authorized Official Name and Position | Dodie Shree Yongue (CO OWNER) |
| Authorized Official Contact | 8642346778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Therapy Center Pa 3519 Pelham Road Suite 103 Greenville SC 29615 Ph: (864) 234-6778 | Greenville Therapy Center Pa 3519 Pelham Road Suite 103 Greenville SC 29615 Ph: (864) 234-6778 |
| NPI Number | 1013056100 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3072534833 |
|---|---|
| Medicare Enrollment ID | O20051208000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013056100 | NPI | - | NPPES |
| Provider Name | Dodie S Yongue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669526141 PECOS PAC ID: 4688695455 Enrollment ID: I20110126000922 |
| Provider Name | Karen L Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639211014 PECOS PAC ID: 8224217914 Enrollment ID: I20110127000142 |
| Provider Name | Stephen F Compton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083889604 PECOS PAC ID: 6103000369 Enrollment ID: I20110412000912 |
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