Provider Demographics
NPI:1093304628
Name:GREANEY, KAYLEIGH J (LMHC11807)
Entity Type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:J
Last Name:GREANEY
Suffix:
Gender:F
Credentials:LMHC11807
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1506 PROVIDENCE HWY UNIT 25
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4647
Mailing Address - Country:US
Mailing Address - Phone:617-401-7700
Mailing Address - Fax:
Practice Address - Street 1:255 LOW ST STE 302
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3596
Practice Address - Country:US
Practice Address - Phone:978-222-3121
Practice Address - Fax:978-296-3460
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MALMHC11807101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health