Provider Demographics
NPI:1487852885
Name:GREENFIELD COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:GREENFIELD COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:R
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CAC
Authorized Official - Phone:814-337-7431
Mailing Address - Street 1:11127 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-6557
Mailing Address - Country:US
Mailing Address - Phone:814-337-7431
Mailing Address - Fax:814-332-0917
Practice Address - Street 1:11127 PERRY HWY
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-6557
Practice Address - Country:US
Practice Address - Phone:814-337-7431
Practice Address - Fax:814-332-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207015261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone