Upstate Treatment Specialists LLC
Clinic/Center, Methadone Clinic in Spartanburg, SC. Organization (NPI-2).
NPI number1235909367
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1235909367
- Entity type
- Organization (NPI-2)
- Legal business name
- Upstate Treatment Specialists LLC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2024
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – | Yes |
Practice location
7092 Howard StUnit E
Spartanburg, SC 29303
Phone 864-616-5031 · Fax 864-407-4155
Mailing address
4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600
Phone 864-616-5031 · Fax 864-407-4155
Authorized official
Amy Marie Nieman
Director Of Payer Credentialing
5135441003
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