Healthcare Provider Details

I. General information

NPI: 1902491657
Provider Name (Legal Business Name): ANN MARIE GREENWAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 LAPEER RD
FLINT MI
48503-2704
US

IV. Provider business mailing address

2483 S LINDEN RD STE 130
FLINT MI
48532-5435
US

V. Phone/Fax

Practice location:
  • Phone: 810-232-7919
  • Fax: 810-232-7913
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851115060
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: