Provider Demographics
NPI:1437904232
Name:EMILEE GREENMAN THERAPY LLC
Entity type:Organization
Organization Name:EMILEE GREENMAN THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILEE
Authorized Official - Middle Name:T
Authorized Official - Last Name:GREENMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:586-202-1145
Mailing Address - Street 1:16115 BURTON CT
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-2732
Mailing Address - Country:US
Mailing Address - Phone:586-202-1145
Mailing Address - Fax:
Practice Address - Street 1:32813 MIDDLEBELT RD # NA
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1702
Practice Address - Country:US
Practice Address - Phone:586-202-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty