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Contact Information

TRIBE513, P.A.
127 W ANTRIM DR
GREENVILLE, SC29607-2505
 Phone: 864-239-4110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TRIBE513, P.A.

NPI # 1760016299
LBN Legal business name TRIBE513, P.A.
Authorized official JENNIE CLEVELAND - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/24/2020
Last updated 04/19/2024 - About 2 years ago
Identifiers
Other 1053778431 NPI
Other 1356604466 NPI
Other 1942631189 NPI
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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