Provider Demographics
NPI:1104953645
Name:GREENWAY, KATE K (LPC CHT MS COUNSELIN)
Entity type:Individual
Prefix:MS
First Name:KATE
Middle Name:K
Last Name:GREENWAY
Suffix:
Gender:F
Credentials:LPC CHT MS COUNSELIN
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:S
Other - Last Name:KAUFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1035 W GLEN OAKS LN
Mailing Address - Street 2:#10
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3392
Mailing Address - Country:US
Mailing Address - Phone:262-240-0299
Mailing Address - Fax:
Practice Address - Street 1:1035 W GLEN OAKS LN
Practice Address - Street 2:#10
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3392
Practice Address - Country:US
Practice Address - Phone:262-240-0299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5193-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional