Organization
UPSTATE RESTORATIVE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE SIMMONS LISW-CP (OWNER/THERAPIST)
(864) 567-3102
Entity
Organization
Contact information
Practice address
301 HALTON RD STE J, GREENVILLE, SC 29607-3498
(864) 664-2710
Mailing address
301 HALTON RD STE J, GREENVILLE, SC 29607-3498
(886) 664-2710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
03/02/2022
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