Organization
RENEWED BY GRACE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISA GREEN LPC (THERAPIST/OWNER)
(864) 301-5610
Entity
Organization
Contact information
Practice address
408 N DUNCAN BYP STE 9, UNION, SC 29379-8663
(864) 301-5610
Mailing address
330 ZION CHURCH RD, PACOLET, SC 29372-2929
(864) 301-5610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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