Provider Demographics
NPI:1477790467
Name:GREG M. SINGLETON, LCSW
Entity Type:Organization
Organization Name:GREG M. SINGLETON, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:MILAM
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:903-521-0151
Mailing Address - Street 1:14049 FM 757
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:TX
Mailing Address - Zip Code:75792-6034
Mailing Address - Country:US
Mailing Address - Phone:903-521-0151
Mailing Address - Fax:888-242-8720
Practice Address - Street 1:14049 FM 757
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:TX
Practice Address - Zip Code:75792-6034
Practice Address - Country:US
Practice Address - Phone:903-521-0151
Practice Address - Fax:888-242-8720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX277431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty