Provider Demographics
NPI:1497402754
Name:TYONA SHERRIE GREENE
Entity Type:Organization
Organization Name:TYONA SHERRIE GREENE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREATMENT COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:TYONA
Authorized Official - Middle Name:SHERRIE
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:CDCA
Authorized Official - Phone:614-253-4448
Mailing Address - Street 1:1409 E LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2926
Mailing Address - Country:US
Mailing Address - Phone:614-253-4448
Mailing Address - Fax:614-253-8781
Practice Address - Street 1:1409 E LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2926
Practice Address - Country:US
Practice Address - Phone:614-253-4448
Practice Address - Fax:614-253-8781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty