| Progressive Life Changers | |
|
1101 Belleview St Ste 103 Columbia SC 29201-1863 | |
| (704) 726-2590 | |
| (980) 422-0161 |
| Full Name | Progressive Life Changers |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1101 Belleview St Ste 103, Columbia, South Carolina |
| Authorized Official Name and Position | Kenneth O'bryan Curlee (OWNER) |
| Authorized Official Contact | 7047262590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Life Changers 1101 Belleview St Ste 103 Columbia SC 29201-1863 Ph: (704) 726-2590 | Progressive Life Changers 1101 Belleview St Ste 103 Columbia SC 29201-1863 Ph: (704) 726-2590 |
| NPI Number | 1760903918 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760903918 | NPI | - | NPPES |
| GP7961 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
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