Provider Demographics
NPI:1669629564
Name:GREENE, EMMA ROSEMARY (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:ROSEMARY
Last Name:GREENE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-7547
Mailing Address - Country:US
Mailing Address - Phone:251-625-4468
Mailing Address - Fax:
Practice Address - Street 1:151 BRENTWOOD DR
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-7547
Practice Address - Country:US
Practice Address - Phone:251-625-4468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1477101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional