Provider Type Icon

ITRUST WELLNESS GROUP THERAPEUTICS NPI 1184228413


NPI Information

NPI: 1184228413
Provider Name: ITRUST WELLNESS GROUP THERAPEUTICS
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 42D2298331

Address:
117 COMMONS WAY
GREENVILLE, SC
ZIP 29611
Phone: (864) 520-2020
Get Directions

ITRUST WELLNESS GROUP THERAPEUTICS is a psychiatry psychiatry neurology in Greenville, SC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. ITRUST WELLNESS GROUP THERAPEUTICS NPI is 1184228413. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

117 COMMONS WAY
GREENVILLE, SC
ZIP 29611-850
Phone: (864) 520-2020
Fax: (864) 640-4400

The provider's authorized official is Steven Krozer .
The authorized official title is Ceo and has the following contact phone number (864) 520-2020.

The CLIA number assigned to this NPI record is 42D2298331 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2020 and was last updated on 11/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes
2261QM1300XClinic/CenterMulti-SpecialtyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP9535MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.