# PROGRESSIVE LIFE CHANGERS

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

## Provider details

- **NPI number:** 1760903918
- **Authorized official:** KENNETH O'BRYAN CURLEE (OWNER)
- **Authorized official phone:** (704) 726-2590

## Contact information

- **Practice address:** 1101 BELLEVIEW ST STE 103, COLUMBIA, SC 29201-1863
- **Practice address phone:** (704) 726-2590
- **Practice address fax:** (980) 422-0161
- **Mailing address:** 1101 BELLEVIEW ST STE 103, COLUMBIA, SC 29201-1863
- **Mailing address phone:** (704) 726-2590
- **Mailing address fax:** (980) 422-0161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 1041S0200X | School Social Worker | — | NULL | — |
| 1041S0200X | School Social Worker | — | — | — |

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 05/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP7961 | — | SC |