Provider Demographics
NPI:1033809454
Name:THE GREENE PROJECT COUNSELING
Entity Type:Organization
Organization Name:THE GREENE PROJECT COUNSELING
Other - Org Name:THE GREENE PROJECT COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JERUSHA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:NELSON-BRENT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:313-525-7131
Mailing Address - Street 1:27010 JOY RD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-1949
Mailing Address - Country:US
Mailing Address - Phone:734-682-2259
Mailing Address - Fax:
Practice Address - Street 1:27010 JOY RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-1949
Practice Address - Country:US
Practice Address - Phone:734-682-2259
Practice Address - Fax:248-482-7455
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE GREENE PROJECT COUNSELING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-09
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty