Provider Demographics
NPI:1568776342
Name:CARREATHERS-RIGGINS, GRETA JEAN
Entity Type:Individual
Prefix:MISS
First Name:GRETA
Middle Name:JEAN
Last Name:CARREATHERS-RIGGINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GRETA
Other - Middle Name:JEAN
Other - Last Name:CARREATHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10101 LITTLE POND DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-6835
Mailing Address - Country:US
Mailing Address - Phone:405-720-1227
Mailing Address - Fax:
Practice Address - Street 1:10101 LITTLE POND DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-6835
Practice Address - Country:US
Practice Address - Phone:405-738-6759
Practice Address - Fax:405-720-1227
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor