# ITRUST WELLNESS GROUP

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

## Provider details

- **NPI number:** 1629517222
- **Authorized official:** GRACE KEEL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (864) 520-5500

## Contact information

- **Practice address:** 149 COMMONS WAY, GREENVILLE, SC 29611-3850
- **Practice address phone:** (864) 520-2020
- **Mailing address:** 125 COMMONS WAY, GREENVILLE, SC 29611-3850
- **Mailing address phone:** (864) 520-2020
- **Mailing address fax:** (864) 640-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 20465 | SC | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 20465 | SC | Yes |

## Other

- **Enumeration date:** 02/15/2017
- **Last updated:** 05/19/2026