Organization · Type 2 NPI

Upstate Living Clinic LLC

Mental Health Counselor · Greenville, SC

NPI number 1619529591 Active

Practice location

710 Pettigru St
Greenville, SC 29601-3121

Mailing address

407 Dellwood Dr
Greenville, SC 29609-5018

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619529591

Upstate Living Clinic LLC's National Provider Identifier is 1619529591, issued on Jul 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenville, SC. The record was last updated on Feb 28, 2020.