Provider Demographics
NPI:1801685607
Name:GREENBURG, ABIGAIL (CMHC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:GREENBURG
Suffix:
Gender:
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5117 S GERMANIA PL
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-8439
Mailing Address - Country:US
Mailing Address - Phone:801-946-6815
Mailing Address - Fax:
Practice Address - Street 1:5117 S GERMANIA PL
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-8439
Practice Address - Country:US
Practice Address - Phone:385-645-5347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13400674-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health