Provider Demographics
NPI:1346899978
Name:GREENTREE MINISTRIES
Entity Type:Organization
Organization Name:GREENTREE MINISTRIES
Other - Org Name:GREENTREE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:314-494-8712
Mailing Address - Street 1:543 CARDINAL AVE
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-7740
Mailing Address - Country:US
Mailing Address - Phone:331-452-8949
Mailing Address - Fax:
Practice Address - Street 1:543 CARDINAL AVE
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-7740
Practice Address - Country:US
Practice Address - Phone:314-494-8712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-06
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health