Provider Demographics
NPI:1982318788
Name:FIRPO GREENWOOD MENTAL HEALTH COUNSELING LLC
Entity Type:Organization
Organization Name:FIRPO GREENWOOD MENTAL HEALTH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:YENILSHIA
Authorized Official - Middle Name:LISELY
Authorized Official - Last Name:FIRPO-GREENWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-202-0604
Mailing Address - Street 1:6 LIBERTY SQ
Mailing Address - Street 2:PMB 95603
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-5800
Mailing Address - Country:US
Mailing Address - Phone:508-202-0604
Mailing Address - Fax:
Practice Address - Street 1:80 WASHINGTON ST STE C17
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1729
Practice Address - Country:US
Practice Address - Phone:508-202-1969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health