| Greenecare Counseling Llc | |
|
401 S. Locust St. , Ste 102 Floyd VA 24091 | |
| (540) 745-4700 | |
| (540) 745-4706 |
| Full Name | Greenecare Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 401 S. Locust St. , Ste 102, Floyd, Virginia |
| Authorized Official Name and Position | Elise Karen Greene (OWNER) |
| Authorized Official Contact | 5407454700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenecare Counseling Llc Po Box 975 Floyd VA 24091 Ph: (540) 745-4700 | Greenecare Counseling Llc 401 S. Locust St. , Ste 102 Floyd VA 24091 Ph: (540) 745-4700 |
| NPI Number | 1417490145 |
|---|---|
| Provider Enumeration Date | 11/29/2016 |
| Last Update Date | 01/10/2018 |
| Medicare PECOS PAC ID | 6507141108 |
|---|---|
| Medicare Enrollment ID | O20170322001705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417490145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008170 (Virginia) | Primary |
| Provider Name | Elise K Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073854402 PECOS PAC ID: 5092959270 Enrollment ID: I20130910000941 |
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