Organization
GENERATIONS GROUP HOMES OF GREENVILLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN E REYNOLDS (CONSULTANT)
(864) 243-5557
Entity
Organization
Contact information
Practice address
821 DUNKLIN BRIDGE RD, FOUNTAIN INN, SC 29644-9725
(864) 243-5557
(864) 243-5947
Mailing address
PO BOX 80009, SIMPSONVILLE, SC 29680-0001
(864) 243-5557
(864) 243-5947
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SR-0008139001-CCI
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
988MXH
—
SC
Enumeration date
12/18/2006
Last updated
08/22/2020
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