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Organization

UPSTATE LIVING CLINIC LLC

Active
Other names
Greenville Relationship Institute
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW L JOHNSTON LPC (OWNER)
(864) 915-1610
Entity
Organization

Contact information

Practice address
710 PETTIGRU ST, GREENVILLE, SC 29601-3121
(864) 990-4442
Mailing address
407 DELLWOOD DR, GREENVILLE, SC 29609-5018
(864) 915-1610

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/11/2019
Last updated
02/28/2020
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