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NPI 1003167990 · Marriage & Family Therapist · Greenville, SC
Provider details
- NPI number
- 1003167990
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kelly Roseberry, Executive Director(864) 704-0931
- License
- 5080 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
850 Wade Hampton Blvd
Suite C
Greenville, SC 29609-4945
Phone: (864) 704-0931
Approximate (ZIP-level) locationGet directions
Mailing address
850 Wade Hampton Blvd
Greenville, SC 29609-4945
Registry dates
- Enumerated
- 2012-10-02
- Last updated
- 2012-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.