Provider Demographics
NPI:1225379712
Name:GREENMAN, STEVEN (LPC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:GREENMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2890 CLUSTER DR APT 30
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49685-7394
Mailing Address - Country:US
Mailing Address - Phone:231-631-3736
Mailing Address - Fax:
Practice Address - Street 1:125 S PARK ST
Practice Address - Street 2:SUITE 400
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-3604
Practice Address - Country:US
Practice Address - Phone:231-631-3736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL2243622101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health