Organization · Type 2 NPI

South Carolina Dept of Mental Health Accounting Office

Mental Health Clinic/Center (Including Community Mental Health Center) · Greenville, SC

NPI number 1013476787 Active

Practice location

124 Mallard St
Greenville, SC 29601-4046

Fax (864) 241-1215

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

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NPI record

NPI: 1013476787
Entity type: Organization (Type 2)
Issued: Mar 13, 2019
Last updated: Dec 18, 2023
Status: Active

Other names

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Greater Greenville Mental Health Center · doing business as
Greater Greenville Mental Health Center · doing business as

Authorized official

Tracy L Turner
Controller
(803) 898-8503

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013476787

South Carolina Dept of Mental Health Accounting Office's National Provider Identifier is 1013476787, issued on Mar 13, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Greenville, SC. The record was last updated on Dec 18, 2023.