| Y-therapy | |
|
561 E Main St Spartanburg SC 29302-1946 | |
| (864) 680-9189 | |
| Not Available |
| Full Name | Y-therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 561 E Main St, 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 431 Fox Run Trl Woodruff SC 29388-9812 Ph: (864) 680-9189 | Y-therapy 561 E Main St Spartanburg SC 29302-1946 Ph: (864) 680-9189 |
| NPI Number | 1356856769 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 04/01/2026 |
| Certification Date | 04/01/2026 |
| 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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