Provider Demographics
NPI:1689772832
Name:GREENE, MARGARET KAREN (LPC LMFT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:KAREN
Last Name:GREENE
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1000 JOHNSON FERRY RD #E-250
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2192
Mailing Address - Country:US
Mailing Address - Phone:770-973-8208
Mailing Address - Fax:770-973-6695
Practice Address - Street 1:1000 JOHNSON FERRY RD #E-250
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2192
Practice Address - Country:US
Practice Address - Phone:770-973-8208
Practice Address - Fax:770-973-6695
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC 311101YP2500X
GALMFT 751106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist