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 |
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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 |
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Provider Enumeration Date | 11/29/2016 |
Last Update Date | 01/10/2018 |
Medicare PECOS PAC ID | 6507141108 |
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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 |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073854402 PECOS PAC ID: 5092959270 Enrollment ID: I20130910000941 |
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