MEDICARE: COLLEEN GREER

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
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1568123271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN GREER

Provider Business Mailing Address
First Line	:	5813 MAYFIELD RD STE 203
Second Line	:
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-2937
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5813 MAYFIELD RD
Second Line	:
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-2932
Country	:	US
Telephone Number	:	216-361-4400
Fax Number	:

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

Provider Enumeration Date	:	01/05/2022
Last Update Date	:	05/21/2024

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Directions to “ COLLEEN GREER ” Practice Location

Language	Start Address	Practice Location

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