Provider Demographics
NPI:1952017774
Name:GRECO, SUSAN M (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:GRECO
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5213 STORM KING
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78108-2016
Mailing Address - Country:US
Mailing Address - Phone:281-594-2795
Mailing Address - Fax:
Practice Address - Street 1:5213 STORM KING
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78108-2016
Practice Address - Country:US
Practice Address - Phone:281-594-2795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional