Organization · Type 2 NPI
Renewed By Grace Therapy
Counselor · Union, SC
NPI number
1104780923
Active
Practice location
408 N Duncan Byp Ste 9
Union, SC 29379-8663
Mailing address
330 Zion Church Rd
Pacolet, SC 29372-2929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1104780923
Renewed By Grace Therapy's National Provider Identifier is 1104780923, issued on Dec 15, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Union, SC. The record was last updated on Dec 15, 2025.