OrganizationActive
864pride
NPI 1790481422 · Mental Health Clinic/Center (Including Community Mental Health Center) · Greenville, SC
Provider details
- NPI number
- 1790481422
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Laura Davis, President(864) 325-1356
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
30 Pointe Cir
Greenville, SC 29615-3506
Phone: (864) 655-5193
Fax: (864) 655-5183
Approximate (ZIP-level) locationGet directions
Mailing address
30 Pointe Cir
Greenville, SC 29615-3506
Registry dates
- Enumerated
- 2023-02-03
- Last updated
- 2023-02-03
- Certified
- 2023-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.