| Doctor Name: | MR. ANDREW EDMOND GREENLEE |
| NPI Number: | 1154500791 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA., MED., LPC |
| License Number: | 6401004038 |
| Business Practice Address: | 150 Stimson St Detroit, MI - 482012410 |
| Business Phone Number: | 3139934700 |
| Business Fax Number: | 3138312299 |
| Mailing Address: | 91 Glendale St, HIGHLAND PARK |
| State: | MI |
| Postal Code: | 482033274 |
| Phone Number: | 3132630077 |
| Fax Number: | 3138830422 |
| NPI Enumeration Date: | 10/31/2007 |
| NPI Last Update Date: | 10/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 6401004038 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |