Provider Demographics
NPI:1962149971
Name:GREENSTONE COUNSELING LLC
Entity type:Organization
Organization Name:GREENSTONE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:NORDFELT
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:208-261-2131
Mailing Address - Street 1:PO BOX 634
Mailing Address - Street 2:
Mailing Address - City:REXBURG
Mailing Address - State:ID
Mailing Address - Zip Code:83440-0634
Mailing Address - Country:US
Mailing Address - Phone:208-261-2131
Mailing Address - Fax:208-273-3856
Practice Address - Street 1:343 E 4TH N STE 227
Practice Address - Street 2:
Practice Address - City:REXBURG
Practice Address - State:ID
Practice Address - Zip Code:83440-6008
Practice Address - Country:US
Practice Address - Phone:208-261-2131
Practice Address - Fax:208-273-3856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty