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Organization
UPSTATE LIVING CLINIC LLC
Active
Organization
UPSTATE LIVING CLINIC LLC
Active
Other names
Greenville Relationship Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW L JOHNSTON LPC (OWNER)
(864) 915-1610
Entity
Organization
Contact information
Practice address
710 PETTIGRU ST, GREENVILLE, SC 29601-3121
(864) 990-4442
Mailing address
407 DELLWOOD DR, GREENVILLE, SC 29609-5018
(864) 915-1610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
02/28/2020
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