Organization
WELL GREENVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEY NEVELS PH.D. (SOLE MEMBER)
(864) 900-4007
Entity
Organization
Contact information
Practice address
11 N IRVINE ST, GREENVILLE, SC 29601-4900
(864) 900-4007
Mailing address
418 PINCKNEY ST, GREENVILLE, SC 29601-1120
(864) 900-4007
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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