| Doctor Name: | LOA VANHOUTEN-GREEDY |
| NPI Number: | 1710387303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PLMHP/PLADC |
| License Number: | P-1154 |
| Business Practice Address: | 608 West St Tabor, IA - 516534065 |
| Business Phone Number: | 7123130067 |
| Business Fax Number: | 4026973924 |
| Mailing Address: | 608 West St, TABOR |
| State: | IA |
| Postal Code: | 516534065 |
| Phone Number: | 7123130067 |
| Fax Number: | 4026973924 |
| NPI Enumeration Date: | 09/02/2014 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | P-1154 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |