Provider Information for 1972015394
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. KESHA GREENE LPC
Sex: Female
NPI: 1972015394
Last Updated: 2017-10-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1972015394 | ||||||||
| Enumeration Date | 2017-10-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2238 CHESTNUT LOG LOOP LITHIA SPRINGS, GA 30122-3551 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 101 QUARTZ DR STE 103A VILLA RICA, GA 30180-3201 United States Phone: 404-430-7314 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|