NPI 1003167990
All About Change
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
Professional Counselor
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.