Provider Demographics
NPI:1417490145
Name:GREENECARE COUNSELING LLC
Entity Type:Organization
Organization Name:GREENECARE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:540-745-4700
Mailing Address - Street 1:PO BOX 975
Mailing Address - Street 2:
Mailing Address - City:FLOYD
Mailing Address - State:VA
Mailing Address - Zip Code:24091
Mailing Address - Country:US
Mailing Address - Phone:540-745-4700
Mailing Address - Fax:540-745-4706
Practice Address - Street 1:401 S. LOCUST ST. , STE 102
Practice Address - Street 2:
Practice Address - City:FLOYD
Practice Address - State:VA
Practice Address - Zip Code:24091
Practice Address - Country:US
Practice Address - Phone:540-745-4700
Practice Address - Fax:540-745-4706
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREENECARE COUNSELING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-29
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040081701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty