MEDICARE: EMMA KATHERINE GREENE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	A22099	NC

General Provider Information

NPI Number	:	1144170754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA KATHERINE GREENE

Provider Business Mailing Address
First Line	:	6604 SIX FORKS RD STE 101
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6521
Country	:	US
Telephone Number	:	984-235-2545
Fax Number	:	844-253-4789

Provider Business Practice Location Address
First Line	:	301 EVANS ST STE 200
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-1831
Country	:	US
Telephone Number	:	984-235-2545
Fax Number	:	844-253-4789

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ EMMA KATHERINE GREENE ” Practice Location

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