Provider Demographics
NPI:1194842666
Name:GREENER PASTURES INC
Entity Type:Organization
Organization Name:GREENER PASTURES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOLONDA
Authorized Official - Middle Name:TOMEKA
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:EDS,LPC,NCC
Authorized Official - Phone:912-572-6353
Mailing Address - Street 1:PO BOX 532
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31310-0532
Mailing Address - Country:US
Mailing Address - Phone:912-572-6353
Mailing Address - Fax:
Practice Address - Street 1:445 EG MILES PKWY
Practice Address - Street 2:SUITE 106
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3230
Practice Address - Country:US
Practice Address - Phone:912-572-6353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health