BLANK SPACE THERAPY
NPI 1962246272
Counselor in Greenville, SC

Active since June 21, 2024
1916 WOODRUFF RD, GREENVILLE, SC 29607(864) 729-3257 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor

About BLANK SPACE THERAPY

This page provides the complete NPI Profile along with additional information for Blank Space Therapy, a provider established in Greenville, South Carolina operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1962246272 assigned on June 2024. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jewell De Groot Lpc (Proprietor)

NPI
1962246272 Verify this NPI
Provider Name
BLANK SPACE THERAPY
Entity Type
Organization
Location Address
1916 WOODRUFF RD GREENVILLE, SC 29607
Location Phone
(864) 729-3257
Mailing Address
248 SCOTTS BLUFF DR SIMPSONVILLE, SC 29681
Mailing Phone
(864) 729-3257
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2024
Last Update Date
06-21-2024
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Location Map

Secondary Locations

  • 248 Scotts Bluff Dr
    Simpsonville, SC 29681
    (864) 729-3257

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEWELL DE GROOT LPC

Authorized Official Title
PROPRIETOR
Authorized Official Phone
(864) 729-3257

Reviews for BLANK SPACE THERAPY

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962246272, enumerated as an "organization" on June 21, 2024.

The provider is located at 1916 WOODRUFF RD GREENVILLE, SC 29607 and the phone number is (864) 729-3257.

Counselor with taxonomy code 101Y00000X.