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Contact Information

UPSTATE PSYCHOTHERAPY, LLC
3441 PELHAM RD STE 103
GREENVILLE, SC29615-4184
 Phone: 864-735-0662
 Fax: 864-568-7262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for UPSTATE PSYCHOTHERAPY, LLC

NPI # 1811538382
LBN Legal business name UPSTATE PSYCHOTHERAPY, LLC
Authorized official BONNIE KESSLER - (OWNER, LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2019
Last updated 01/21/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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