Renewed By Grace Therapy
Counselor in Union, SC. Organization (NPI-2).
NPI number1104780923
StatusActive
Last updated in NPPESDec 15, 2025
Details
- NPI
- 1104780923
- Entity type
- Organization (NPI-2)
- Legal business name
- Renewed By Grace Therapy
- Organization subpart
- No
- Enumeration date
- Dec 15, 2025
- Certification date
- Dec 15, 2025
- Last updated
- Dec 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
408 N Duncan Byp Ste 9Union, SC 29379-8663
Phone 864-301-5610
Mailing address
330 Zion Church RdPacolet, SC 29372-2929
Phone 864-301-5610
Authorized official
Keisa Green
Therapist/Owner
8643015610
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