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NPI Code Detail

MEDICARE: ONENESS AGENCY LLC

MEDICARE: ONENESS AGENCY 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
1101YM0800XMental Health Counselor
2172V00000XCommunity Health Worker
3251S00000XCommunity/Behavioral Health Agency
4163W00000XRegistered Nurse

General Provider Information

NPI Number : 1154286847
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONENESS AGENCY LLC
Provider Business Mailing Address
First Line : 120 BROADUS AVE
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 BROADUS AVE
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3040
Country : US
Telephone Number : 864-230-3625
Fax Number :
Authorized Official
Title or Position : REGISTERED NURSE/CARE COORDINATOR
Name : KATHLEEN GREER
Credential : RN
Telephone Number : 864-230-3625
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ONENESS AGENCY LLC ” Practice Location

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