Provider Demographics
NPI:1699429647
Name:GREENWOOD MENTAL HEALTH COUNSELING P.C.
Entity type:Organization
Organization Name:GREENWOOD MENTAL HEALTH COUNSELING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARFIELD
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC,NCC
Authorized Official - Phone:516-309-1675
Mailing Address - Street 1:80 WHITEHOUSE AVE
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:NY
Mailing Address - Zip Code:11575-1324
Mailing Address - Country:US
Mailing Address - Phone:516-309-1675
Mailing Address - Fax:
Practice Address - Street 1:80 WHITEHOUSE AVE
Practice Address - Street 2:
Practice Address - City:ROOSEVELT
Practice Address - State:NY
Practice Address - Zip Code:11575-1324
Practice Address - Country:US
Practice Address - Phone:516-309-1675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty