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Contact Information

REVOLUTION PSYCHOLOGY, LLC
245 E BROAD ST STE B
GREENVILLE, SC29601-2896
 Phone: 864-417-9668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for REVOLUTION PSYCHOLOGY, LLC

NPI Number 1346886801
LBN Legal business name REVOLUTION PSYCHOLOGY, LLC
Authorized official JOSEPH PACIARELLI - (PRESIDENT/CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2019
Last updated 09/15/2022 - About 4 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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