NPI Code Details Logo

NPI 1154286847

NPI 1154286847 : ONENESS AGENCY LLC : GREENVILLE, SC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1154286847
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ONENESS AGENCY LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/16/2025
-----------------------------------------------------
    Last Update Date     |    12/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    120 BROADUS AVE 
-----------------------------------------------------
    City                 |    GREENVILLE
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29601-3040
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    864-230-3625
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    120 BROADUS AVE 
-----------------------------------------------------
    City                 |    GREENVILLE
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29601-3040
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    REGISTERED NURSE/CARE COORDINATOR
-----------------------------------------------------
    Name                 |     KATHLEEN  GREER 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    864-230-3625
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    172V00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Health Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    163W00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Nurse
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.