# THE FIFTH SEASON CENTER FOR LOSS GRIEF AND TRANSITION

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

## Provider details

- **NPI number:** 1245527001
- **Authorized official:** MRS. PATTIE S BRODERICK LISW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (864) 404-5070

## Contact information

- **Practice address:** 111 MILLS AVE, GREENVILLE, SC 29605-4017
- **Practice address phone:** (864) 241-8222
- **Practice address fax:** (864) 241-8222
- **Mailing address:** 111 MILLS AVE, GREENVILLE, SC 29605-4017
- **Mailing address phone:** (864) 241-8222
- **Mailing address fax:** (864) 241-8222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 5150 | SC | — |
| 1041C0700X | Clinical Social Worker | 1305 | SC | Yes |

## Other

- **Enumeration date:** 06/30/2011
- **Last updated:** 09/06/2011