Organization · Type 2 NPI

Upstate Ellie LLC

Specialist · Greenville, SC

NPI number 1457073694 Active

Practice location

430 Woodruff Rd Ste 450
Greenville, SC 29607-3443

Fax (864) 818-4697

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Specialist Primary 174400000XNone listed
Pediatrics Physician 208000000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

17 other providers at this address

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About NPI 1457073694

Upstate Ellie LLC's National Provider Identifier is 1457073694, issued on Sep 14, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Greenville, SC. The record was last updated on May 1, 2026.