Provider Demographics
NPI:1699847749
Name:GREENE, LEANNE SHEEDY (MED, LPC)
Entity Type:Individual
Prefix:MS
First Name:LEANNE
Middle Name:SHEEDY
Last Name:GREENE
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WESMARK CT
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-1996
Mailing Address - Country:US
Mailing Address - Phone:803-905-5000
Mailing Address - Fax:803-905-5001
Practice Address - Street 1:50 WESMARK CT
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-1996
Practice Address - Country:US
Practice Address - Phone:803-905-5000
Practice Address - Fax:803-905-5001
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3992101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional