| Upstate Therapy, Llc | |
|
125 The Parkway Suite 104 Greenville SC 29615 | |
| (864) 608-4514 | |
| (864) 627-9770 |
| Full Name | Upstate Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 125 The Parkway, Greenville, South Carolina |
| Authorized Official Name and Position | Michelle Quartermaine (PRESIDENT) |
| Authorized Official Contact | 8646084514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Therapy, Llc 419 The Parkway Pmb 109 Greer SC 29650 Ph: (864) 608-4514 | Upstate Therapy, Llc 125 The Parkway Suite 104 Greenville SC 29615 Ph: (864) 608-4514 |
| NPI Number | 1316023286 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 09/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316023286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SC3685 (South Carolina) | Primary |
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