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Organization
UPSTATE THERAPY, LLC
Active
Organization
UPSTATE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE QUARTERMAINE LPC (PRESIDENT)
(864) 608-4514
Entity
Organization
Contact information
Practice address
125 THE PARKWAY, SUITE 104, GREENVILLE, SC 29615
(864) 608-4514
(864) 627-9770
Mailing address
419 THE PARKWAY, PMB 109, GREER, SC 29650
(864) 608-4514
(864) 627-9770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SC3685
SC
Other
Enumeration date
10/31/2006
Last updated
09/19/2008
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