| Y-therapy | |
|
269 S Church St Ste 205 Spartanburg SC 29306-3483 | |
| (864) 680-9189 | |
| Not Available |
| Full Name | Y-therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 269 S Church St Ste 205, Spartanburg, South Carolina |
| Authorized Official Name and Position | Yakeia Fullenwinder (LICENSED PROFESIONAL COUNSELOR) |
| Authorized Official Contact | 8646809189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Y-therapy 319 Lockport Way Spartanburg SC 29301-5971 Ph: () - | Y-therapy 269 S Church St Ste 205 Spartanburg SC 29306-3483 Ph: (864) 680-9189 |
| NPI Number | 1356856769 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 03/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356856769 | NPI | - | NPPES |
| GP8157 | Medicaid | SC | |
| GP8165 | Medicaid | SC | |
| PC1880 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (South Carolina) | Primary |
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