Organization
PROGRESSIVE LIFE CHANGERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH O'BRYAN CURLEE (OWNER)
(704) 726-2590
Entity
Organization
Contact information
Practice address
1101 BELLEVIEW ST STE 103, COLUMBIA, SC 29201-1863
(704) 726-2590
(980) 422-0161
Mailing address
1101 BELLEVIEW ST STE 103, COLUMBIA, SC 29201-1863
(704) 726-2590
(980) 422-0161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7961
—
SC
Enumeration date
06/28/2017
Last updated
05/13/2020
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