| Youth Full Innovations Of The Carolina's, Llc | |
|
151 Commons Way Ste C1 Greenville SC 29611-3850 | |
| (864) 326-5113 | |
| (864) 397-4090 |
| Full Name | Youth Full Innovations Of The Carolina's, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 151 Commons Way Ste C1, Greenville, South Carolina |
| Authorized Official Name and Position | Erica Denham (OWNER) |
| Authorized Official Contact | 8643265113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Full Innovations Of The Carolina's, Llc 120 Willow Winds Dr Columbia SC 29210-4454 Ph: (864) 326-5113 | Youth Full Innovations Of The Carolina's, Llc 151 Commons Way Ste C1 Greenville SC 29611-3850 Ph: (864) 326-5113 |
| NPI Number | 1679137269 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 08/25/2023 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679137269 | NPI | - | NPPES |
| GP9178 | Medicaid | SC | |
| 42D2212370 | Other | SC | CLIA |
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