Organization
JARED J CARBONE APRN PMHNP-BC LLC
Active
Other names
Southern Om Telepsychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
JARED JOSHUA CARBONE (OWNER)
(864) 477-3447
Entity
Organization
Contact information
Practice address
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607-5573
(864) 477-3447
(877) 935-4151
Mailing address
52 WILLOMERE WAY, SIMPSONVILLE, SC 29681-7136
(864) 477-3447
(877) 935-4151
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
03/13/2026
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