Provider Demographics
NPI:1578849253
Name:GREENBERG, CORINNE H (LMHC)
Entity Type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:H
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8107 SW 43RD PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-4224
Mailing Address - Country:US
Mailing Address - Phone:352-335-9158
Mailing Address - Fax:
Practice Address - Street 1:3601 SW 2ND AVE
Practice Address - Street 2:SUITE X
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2803
Practice Address - Country:US
Practice Address - Phone:352-538-0792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4538101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health