MEDICARE: GRETA LAVON MCKINNEY

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

General Provider Information

NPI Number	:	1396057626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETA LAVON MCKINNEY

Provider Business Mailing Address
First Line	:	1337 HAYDEN ST
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46803-2043
Country	:	US
Telephone Number	:	260-348-0794
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 AIRPORT NORTH OFFICE PARK
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-6703
Country	:	US
Telephone Number	:	260-490-8352
Fax Number	:	260-497-0074

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

Provider Enumeration Date	:	07/01/2010
Last Update Date	:	07/01/2010

Similar Medicare Providers

1508711805 — THERAPEUTIC MOBILITY SERVICES INC
Practice Location Address:

311 AIRPORT NORTH OFFICE PARK
FORT WAYNE, IN
46825-6703

Practice Phone: 260-417-8399
Practice Fax: 260-489-1481

1013072180 — RAJ CLINICS PROFESSIONAL SERVICES CORPORATION
Practice Location Address:

315 AIRPORT NORTH OFFICE PARK
FORT WAYNE, IN
46825-6703

Practice Phone: 574-732-1166
Practice Fax: 574-753-4117

1154985224 — SHELLEY ANN VOGELGESANG MASSAGE THERAPIST
Practice Location Address:

347 AIRPORT NORTH OFFICE PARK
FORT WAYNE, IN
46825-6703

Practice Phone: 260-446-9125
Practice Fax:

1033717293 — EVA MARIE RICHARDVILLE OTR
Practice Location Address:

311 AIRPORT NORTH OFFICE PARK
FORT WAYNE, IN
46825-6703

Practice Phone: 260-417-8399
Practice Fax: 260-489-1481

1891055885 — MEDICAL LOGIC FT. WALTON, INC.
Practice Location Address:

922 MAR WALT DR STE 101
FORT WALTON BEACH, FL
32547-6703

Practice Phone: 850-862-6277
Practice Fax: 850-862-6279

1326546482 — MRS. ALINA GRIFFITH LMHC
Practice Location Address:

922 MAR WALT DR STE 200
FORT WALTON BEACH, FL
32547-6703

Practice Phone: 850-517-4604
Practice Fax: 850-204-9330

Directions to “ GRETA LAVON MCKINNEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.