SUSAN RENE' GREENOUGH L.P.C.
NPI 1811023807
Counselor - Mental Health in Meridian, ID
Active since February 26, 2007
About Susan Rene' Greenough L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN RENE' GREENOUGH L.P.C. (NPI 1811023807) is an individual mental health provider in Meridian, Idaho, licensed in Idaho (LPC-3633) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1811023807
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN RENE' GREENOUGHCredential: L.P.C.
Location Address2192 S ALASKA WAYMeridian, ID 83642-8131
Mailing Address2192 S Alaska WayMeridian, ID 83642-8131 · (208) 887-1890
Phone(208) 859-3422
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811023807 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LPC-3633
2192 S ALASKA WAY, Meridian, ID 83642
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811023807, enumerated as an "individual" on February 26, 2007.
The provider is located at 2192 S ALASKA WAY MERIDIAN, ID 83642 and the phone number is (208) 859-3422.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
