Upstate Integrative Family Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

UPSTATE INTEGRATIVE FAMILY THERAPY, LLC

Practice address

4328 Wade Hampton Blvd
Suite C
Taylors, SC 29687

Phone

(864) 735-7174

NPI assigned

Sep 24, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lorie Porter, MMFTNPI 1144991589

Title

Owner

Phone

(864) 735-7174

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lorie Porter, MMFT

  • Marriage & Family Therapist
  • Taylors, SC
  • NPI 1144991589
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1760153100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 WADE HAMPTON BLVD SUITE C",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "29687",
            "telephone_number": "864-735-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 WADE HAMPTON BLVD",
            "address_2": "SUITE C",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "29687",
            "telephone_number": "864-735-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE INTEGRATIVE FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-735-7174",
        "authorized_official_credential": "MMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Thomas Tucker III, DC
• Jeannie Carol Turley, MSP
• Michael Andrew Twitchell, D.M.D.
• Jessica Tysen
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• Upstate Mobility LLC
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• Debora Sue Vanderveer, LMSW
• Johnathan C Vickers, CRT
• Visionworks, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Taylors, SC
• Providers in Taylors, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.