Organization
UPSTATE MENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENE R HEUVELMAN-HUTCHINSON LPC (OWNER)
(678) 230-0476
Entity
Organization
Contact information
Practice address
419 SE MAIN ST STE 203A-2, SIMPSONVILLE, SC 29681-2673
(678) 230-0476
(833) 905-4587
Mailing address
419 SE MAIN ST STE 203A-2, SIMPSONVILLE, SC 29681-2673
(678) 230-0476
(833) 905-4587
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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