MEDICARE: RB THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1609640275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RB THERAPY, LLC

Provider Business Mailing Address
First Line	:	108 AIRPORT RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-2607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 AIRPORT RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-2607
Country	:	US
Telephone Number	:	864-209-1633
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RICKELL BALLENTINE
Credential	:
Telephone Number	:	864-209-1633

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	11/14/2023

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Directions to “RB THERAPY, LLC ” Practice Location

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