Whalio Doctors

NPI 1003167990

All About Change

Organisation Marriage & Family Therapist Greenville, SC

Practice location

Address
850 Wade Hampton Blvd Suite C, Greenville, SC 29609-4945
Phone
(864) 704-0931

Authorised official

Name
Kelly Roseberry
Title
Executive Director
Phone
(864) 704-0931

Registered specialties (2)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 4497 (SC)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 5080 (SC)

Registry record

NPI
1003167990
Entity type
Organization
NPI issued
2 Oct 2012
Record last updated
2 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.