Provider Demographics
NPI:1013775824
Name:GREENHILL, EMILY E (AMFT, ACMHC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:E
Last Name:GREENHILL
Suffix:
Gender:F
Credentials:AMFT, ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3164 HARRISON BLVD
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-0827
Mailing Address - Country:US
Mailing Address - Phone:760-590-6194
Mailing Address - Fax:
Practice Address - Street 1:3375 HARRISON BLVD
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-1228
Practice Address - Country:US
Practice Address - Phone:760-590-6194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13038998-3904101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty