Provider Demographics
NPI:1952090078
Name:GREER, MADISON BROOKE
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:BROOKE
Last Name:GREER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 MERIDIAN CIR APT 203
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-2656
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30273 RACETRACK ROAD
Practice Address - Street 2:
Practice Address - City:MELFA
Practice Address - State:VA
Practice Address - Zip Code:23410
Practice Address - Country:US
Practice Address - Phone:540-298-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool