Provider Demographics
NPI:1871672279
Name:GREENO, ANGELA THERESA (LMHC, CADC, NCC, SEP)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:THERESA
Last Name:GREENO
Suffix:
Gender:F
Credentials:LMHC, CADC, NCC, SEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 7TH AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-5771
Mailing Address - Country:US
Mailing Address - Phone:319-360-6105
Mailing Address - Fax:319-373-9342
Practice Address - Street 1:360 7TH AVE STE 2
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-5771
Practice Address - Country:US
Practice Address - Phone:319-360-6105
Practice Address - Fax:319-373-9284
Is Sole Proprietor?:No
Enumeration Date:2006-11-04
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00832101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA743925000Medicaid