# UPSTATE SUPPORT SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184928988
- **Authorized official:** MRS. ANESSA BOYD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (864) 583-5831

## Contact information

- **Practice address:** 247 RACHEL EVANS DR, BOILING SPRINGS, SC 29316-8395
- **Practice address phone:** (864) 266-2984
- **Mailing address:** 2099 S PINE ST, SUITE B, SPARTANBURG, SC 29302-3349
- **Mailing address phone:** (864) 583-5831
- **Mailing address fax:** (864) 583-5832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2011
- **Last updated:** 01/07/2011
