Provider Demographics
NPI:1932948478
Name:GREENE COUNSELING CORP
Entity type:Organization
Organization Name:GREENE COUNSELING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:III
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-529-0493
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:RONAN
Mailing Address - State:MT
Mailing Address - Zip Code:59864-0025
Mailing Address - Country:US
Mailing Address - Phone:406-529-0493
Mailing Address - Fax:
Practice Address - Street 1:407 MAIN ST SW
Practice Address - Street 2:
Practice Address - City:RONAN
Practice Address - State:MT
Practice Address - Zip Code:59864-2710
Practice Address - Country:US
Practice Address - Phone:406-529-0493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty