Provider Demographics
NPI:1881106052
Name:GREENLIEF, MELISSA (MA, LMHC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:GREENLIEF
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2843 S COUNTY TRL STE 1A
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1752
Mailing Address - Country:US
Mailing Address - Phone:401-398-7799
Mailing Address - Fax:
Practice Address - Street 1:2843 S COUNTY TRL STE 1A
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1752
Practice Address - Country:US
Practice Address - Phone:401-398-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-27
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00889101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIMHC00889OtherLICENSED MENTAL HEALTH COUNSELOR