Healthcare Provider Details

I. General information

NPI: 1831422922
Provider Name (Legal Business Name): ERYN MARIE GREENSTEIN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 06/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 PENROSE CT
GREENSBORO NC
27410
US

IV. Provider business mailing address

406 PENROSE CT
GREENSBORO NC
27410-3114
US

V. Phone/Fax

Practice location:
  • Phone: 303-475-8295
  • Fax:
Mailing address:
  • Phone: 303-475-8295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: