Doctor Name: | MRS. JANET GREENE |
NPI Number: | 1083839567 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S., LMHC |
License Number: | MH7695 |
Business Practice Address: | 25355 W Newberry Rd Newberry, FL - 326693200 |
Business Phone Number: | 3524727070 |
Business Fax Number: | 3524729746 |
Mailing Address: | 1318 Sw 226th St, NEWBERRY |
State: | FL |
Postal Code: | 326693200 |
Phone Number: | 3524727070 |
Fax Number: | 3524729746 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH7695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |