Progressive Life Changers

LBN: Progressive Life Changers
Progressive Life Changers is an health care organization with primary practice located at 1101 Belleview St Ste 103 , Columbia SC 29201-1863. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Progressive Life Changers can be contacted via phone (704) 726-2590, or through Curlee, Kenneth O'Bryan via phone (704) 726-2590.

Contact Information

Primary practice address
1101 Belleview St Ste 103 Columbia SC 29201-1863
Phone: (704) 726-2590
Fax: (980) 422-0161
Website:
Map and Directions
Authorized official contact:
Name: Curlee, Kenneth O'Bryan
Phone: (704) 726-2590

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1760903918
LBN Legal business name Progressive Life Changers
DBA Doing business as
Authorized official Curlee, Kenneth O'Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2017
Last updated May 13th, 2020 - about 5 years 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 1760903918 NPPES
South Carolina MEDICAID GP7961

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