# UNIVERSAL PROGRAM OF RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Andrea R Thorpe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346765534
- **Authorized official:** ANDREA RENEE THORPE LISW-CP,MAC, ICAADC, (OWNER, THERAPIST)
- **Authorized official phone:** (623) 628-0714

## Contact information

- **Practice address:** 640 OLD BACK RIVER RD, GOOSE CREEK, SC 29445-7825
- **Practice address phone:** (623) 628-0714
- **Practice address fax:** (843) 297-4456
- **Mailing address:** 640 OLD BACK RIVER RD, GOOSE CREEK, SC 29445-7825
- **Mailing address phone:** (623) 628-0714
- **Mailing address fax:** (843) 297-4456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 2085R | GA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 508240 | SC | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | C0160 | GA | — |
| 1041C0700X | Clinical Social Worker | 12064 | SC | Yes |
| 1041C0700X | Clinical Social Worker | CSW005041 | GA | — |

## Other

- **Enumeration date:** 08/08/2017
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | SW1385 | — | SC |