Provider Demographics
NPI:1013038892
Name:GREENBERGER, CAROL PEYTON (CAROL GREENBERGER)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:PEYTON
Last Name:GREENBERGER
Suffix:
Gender:F
Credentials:CAROL GREENBERGER
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,LCMHC
Mailing Address - Street 1:705 NEW HAW CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1419
Mailing Address - Country:US
Mailing Address - Phone:828-776-9001
Mailing Address - Fax:772-209-3969
Practice Address - Street 1:705 NEW HAW CREEK RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1419
Practice Address - Country:US
Practice Address - Phone:828-776-9001
Practice Address - Fax:772-209-3969
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7411101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104326Medicaid