MARISSIA CHILDRESS
NPI 1760035778
Counselor - Mental Health in Greenville, SC

Active since July 18, 2019
124 MALLARD ST, GREENVILLE, SC 29601(864) 241-1040 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissia Childress NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSIA CHILDRESS (NPI 1760035778) is an individual mental health provider in Greenville, South Carolina and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1760035778
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISSIA CHILDRESS
Location Address124 MALLARD STGreenville, SC 29601-4046
Mailing Address124 Mallard StGreenville, SC 29601-4046 · (864) 241-1040
Sole ProprietorYes
Enumeration DateJuly 18, 2019
NPI 1760035778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
124 MALLARD ST, Greenville, SC 29601

Other Identifiers 1

Medicaid301100SC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601
Registered Nurse
124 MALLARD ST
GREENVILLE, SC 29601
Counselor
124 MALLARD ST
GREENVILLE, SC 29601
Counselor
124 MALLARD ST
GREENVILLE, SC 29601
Clinic/Center (Mental Health (Including Community Mental Health Center))
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissia Childress's NPI number?

The NPI number for Marissia Childress is 1760035778. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Marissia Childress located?

Marissia Childress practices at 124 Mallard St, Greenville, SC 29601. The listed phone number is (864) 241-1040.

What is Marissia Childress's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Marissia Childress was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.