Provider Demographics
NPI:1912717919
Name:GREENBERG, DARCY
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DARCY
Other - Middle Name:
Other - Last Name:GLIDEWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2807 STONINGTON PL
Mailing Address - Street 2:
Mailing Address - City:FRONTENAC
Mailing Address - State:MO
Mailing Address - Zip Code:63131-3417
Mailing Address - Country:US
Mailing Address - Phone:314-378-9515
Mailing Address - Fax:
Practice Address - Street 1:2807 STONINGTON PL
Practice Address - Street 2:
Practice Address - City:FRONTENAC
Practice Address - State:MO
Practice Address - Zip Code:63131-3417
Practice Address - Country:US
Practice Address - Phone:314-378-9515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor