Organization
PROVIDENT HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA DENISE BRINKLEY LCMHC (EXECUTIVE DIRECTOR)
(252) 955-2354
Entity
Organization
Contact information
Practice address
314 MAIN ST UPPR LEVEL, GREENWOOD, SC 29646-2758
(252) 955-2354
(336) 232-1516
Mailing address
PO BOX 1705, JAMESTOWN, NC 27282-1705
(252) 955-2354
(336) 232-1516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
09/23/2025
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