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General NPI Number Information
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NPI Number | 1093456378
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Entity Type | Organization
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Legal Business Name | GREENE MENTAL WELLNESS, PLLC
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Dates
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Enumeration Date | 04/02/2022
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 833 WAKE FOREST BUSINESS PARK STE F
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City | WAKE FOREST
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State | NC
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Zip | 27587-7184
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Country | US
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Telephone | 919-230-1419
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Fax | 984-278-6610
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Provider Business Mailing Address
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Address Line | 6621 PRESCOTT SHORE DR
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City | WAKE FOREST
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State | NC
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Zip | 27587-8564
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Country | US
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Telephone | 919-667-5888
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATINA GREENE
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Credential | DNP, PMHNP, FNP
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Telephone | 919-667-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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