Renewed BY Grace Therapy

Counselor · Union, SC

Organization Active NPI

NPI number 1104780923

Practice location

408 N Duncan BYP Ste 9
Union, SC 29379-8663
Phone
(864) 301-5610

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NPI record

NPI
1104780923
Entity type
Organization (Type 2)
Enumeration date
December 15, 2025
Last updated
December 15, 2025
Certified
December 15, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

330 Zion Church Rd
Pacolet, SC 29372-2929
Phone
(864) 301-5610

Authorized official

Name
Keisa Green, LPC
Title
Therapist/Owner
Phone
(864) 301-5610

About Renewed BY Grace Therapy

Renewed BY Grace Therapy is a healthcare organization registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 408 N Duncan BYP Ste 9, Union, SC 29379-8663. The NPI number 1104780923 was assigned on December 15, 2025 and the record was last updated on December 15, 2025.

The authorized official for this organization is Keisa Green, LPC, Therapist/Owner.

Frequently asked questions

What is the NPI number of Renewed BY Grace Therapy?

The NPI number is 1104780923.

What is the phone number of Renewed BY Grace Therapy?

The phone number listed for the practice location is (864) 301-5610.

Where is Renewed BY Grace Therapy located?

408 N Duncan BYP Ste 9, Union, SC 29379-8663.

What is the taxonomy code for Renewed BY Grace Therapy?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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