Healthcare Provider Details

I. General information

NPI: 1508923699
Provider Name (Legal Business Name): JOAN E GREENFIELD MA LPC LLP LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 06/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31700 W 13 MILE RD STE 219 SUITE 102
FARMINGTON HILLS MI
48334-2171
US

IV. Provider business mailing address

31700 W 13 MILE RD STE 219 SUITE 102
FARMINGTON HILLS MI
48334-2171
US

V. Phone/Fax

Practice location:
  • Phone: 248-855-5959
  • Fax: 248-855-5959
Mailing address:
  • Phone: 248-855-5959
  • Fax: 248-855-5959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401009826
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401009826
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301003756
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801011657
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: