Provider Demographics
NPI:1467432393
Name:HAASE-GREELEY, CAROL A (LPC)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:A
Last Name:HAASE-GREELEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:HAASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:620 W MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3777
Mailing Address - Country:US
Mailing Address - Phone:281-332-9931
Mailing Address - Fax:
Practice Address - Street 1:620 W MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3777
Practice Address - Country:US
Practice Address - Phone:281-332-9931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional