Provider Demographics
NPI:1659811743
Name:GREINER, MARINA (THERAPEUTIC COACH)
Entity Type:Individual
Prefix:MS
First Name:MARINA
Middle Name:
Last Name:GREINER
Suffix:
Gender:F
Credentials:THERAPEUTIC COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ROTHERHITHE LN NW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-3490
Mailing Address - Country:US
Mailing Address - Phone:914-772-8931
Mailing Address - Fax:
Practice Address - Street 1:1930 N DRUID HILLS RD NE
Practice Address - Street 2:SUITE A
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-6009
Practice Address - Country:US
Practice Address - Phone:404-500-2879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health