| Repose Counseling & Wellness, Llc | |
|
1 N Oak Forest Dr Greenville SC 29617-1814 | |
| (864) 908-0703 | |
| Not Available |
| Full Name | Repose Counseling & Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1 N Oak Forest Dr, Greenville, South Carolina |
| Authorized Official Name and Position | Brooke Ashley Humphrey (OWNER) |
| Authorized Official Contact | 8649080703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Repose Counseling & Wellness, Llc 1 N Oak Forest Dr Greenville SC 29617-1814 Ph: (864) 908-0703 | Repose Counseling & Wellness, Llc 1 N Oak Forest Dr Greenville SC 29617-1814 Ph: (864) 908-0703 |
| NPI Number | 1457137754 |
|---|---|
| Provider Enumeration Date | 09/04/2023 |
| Last Update Date | 09/04/2023 |
| Certification Date | 09/04/2023 |
| Medicare PECOS PAC ID | 3173970571 |
|---|---|
| Medicare Enrollment ID | O20231107000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457137754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brooke Ashley Humphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023718681 PECOS PAC ID: 2860867819 Enrollment ID: I20230405001991 |
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