Provider Demographics
NPI:1083189690
Name:GREENWALD, CHRISTINE ORLOWSKI (LPCC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ORLOWSKI
Last Name:GREENWALD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ELIZABETH
Other - Last Name:ORLOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:608 LUDLOW RD
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-1848
Mailing Address - Country:US
Mailing Address - Phone:303-704-1045
Mailing Address - Fax:937-375-9367
Practice Address - Street 1:130 S MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-2094
Practice Address - Country:US
Practice Address - Phone:937-404-1881
Practice Address - Fax:937-375-9367
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-10
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003339A101YM0800X
OHE.1800892101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health