Individual
KEISA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 504-3628
(864) 594-0040
Mailing address
PO BOX 5158, SPARTANBURG, SC 29304-5158
(864) 398-2380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7419
SC
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/03/2018
Last updated
07/29/2025
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