Organization
Y-THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YAKEIA FULLENWINDER (LICENSED PROFESIONAL COUNSELOR)
(864) 680-9189
Entity
Organization
Contact information
Practice address
561 E MAIN ST, SPARTANBURG, SC 29302-1946
(864) 680-9189
Mailing address
431 FOX RUN TRL, WOODRUFF, SC 29388-9812
(864) 680-9189
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8157
—
SC
05
—
GP8165
—
SC
05
—
PC1880
—
SC
Enumeration date
12/07/2017
Last updated
04/01/2026
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