| All About Change | |
|
850 Wade Hampton Blvd Suite C Greenville SC 29609-4945 | |
| (864) 704-0931 | |
| Not Available |
| Full Name | All About Change |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 850 Wade Hampton Blvd, Greenville, South Carolina |
| Authorized Official Name and Position | Kelly Roseberry (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8647040931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All About Change 850 Wade Hampton Blvd Suite C Greenville SC 29609-4945 Ph: (864) 704-0931 | All About Change 850 Wade Hampton Blvd Suite C Greenville SC 29609-4945 Ph: (864) 704-0931 |
| NPI Number | 1003167990 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 10/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003167990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5080 (South Carolina) | Secondary |
| 106H00000X | Marriage & Family Therapist | 4497 (South Carolina) | Primary |
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