Healthcare Provider Details

I. General information

NPI: 1154286847
Provider Name (Legal Business Name): ONENESS AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 BROADUS AVE
GREENVILLE SC
29601-3040
US

IV. Provider business mailing address

120 BROADUS AVE
GREENVILLE SC
29601-3040
US

V. Phone/Fax

Practice location:
  • Phone: 864-230-3625
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN GREER
Title or Position: REGISTERED NURSE/CARE COORDINATOR
Credential: RN
Phone: 864-230-3625