# KETAMINE SOLUTIONS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1952147498
- **Authorized official:** JOY BAILLEY (MEMBER)
- **Authorized official phone:** (864) 527-1250

## Contact information

- **Practice address:** 138 MILESTONE WAY STE A, GREENVILLE, SC 29615-6618
- **Practice address phone:** (864) 236-1630
- **Mailing address:** 3523 PELHAM RD STE C, GREENVILLE, SC 29615-4191
- **Mailing address phone:** (864) 527-1250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/03/2024
- **Last updated:** 08/07/2025
