<Unavail>

LBN: Upstate Ellie Llc
<Unavail> is an health care organization with primary practice located at 430 Woodruff Rd Ste 450 , Greenville SC 29607-3443. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Other Service Providers / Specialist is the primary health care specialty. Upstate Ellie Llc can be contacted via phone (864) 659-6670, or through Hall, Kristin N via phone (864) 302-6012.

Contact Information

Primary practice address
430 Woodruff Rd Ste 450 Greenville SC 29607-3443
Phone: (864) 659-6670
Fax: (864) 818-4697
Website:
Map and Directions
Authorized official contact:
Name: Hall, Kristin N
Phone: (864) 302-6012

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1457073694
LBN Legal business name Upstate Ellie Llc
DBA Doing business as <Unavail>
Authorized official Hall, Kristin N
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2022
Last updated May 1st, 2026 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457073694 NPPES
South Carolina MEDICAID PG1594

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