Tribe513, P.A.

Psychologist · Greenville, SC

Organization Active NPI

NPI number 1760016299

Practice location

127 W Antrim Dr
Greenville, SC 29607-2505
Phone
(864) 239-4110

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NPI record

NPI
1760016299
Entity type
Organization (Type 2)
Enumeration date
February 24, 2020
Last updated
April 19, 2024
Certified
April 19, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X — —
Clinical Child & Adolescent Psychologist 103TC2200X — —
Exercise & Sports Psychologist 103TE1100X — —
School Psychologist 103TS0200X — —

Authorized official

Name
Jennie Cleveland
Title
Director
Phone
(970) 471-2922

Other names

  • Vive Psych

About Tribe513, P.A.

Tribe513, P.A. is a healthcare organization registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 127 W Antrim Dr, Greenville, SC 29607-2505. The NPI number 1760016299 was assigned on February 24, 2020 and the record was last updated on April 19, 2024.

The authorized official for this organization is Jennie Cleveland, Director.

Frequently asked questions

What is the NPI number of Tribe513, P.A.?

The NPI number is 1760016299.

What is the phone number of Tribe513, P.A.?

The phone number listed for the practice location is (864) 239-4110.

Where is Tribe513, P.A. located?

127 W Antrim Dr, Greenville, SC 29607-2505.

What is the taxonomy code for Tribe513, P.A.?

The primary taxonomy code is 103T00000X – Psychologist; 3 more listed above.

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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