Individual
MIRANDA GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4811 S 76TH ST STE 208, GREENFIELD, WI 53220-4352
(262) 442-2782
Mailing address
4811 S 76TH ST STE 208, GREENFIELD, WI 53220-4352
(262) 442-2782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10291-125
WI
101YP2500X
Professional Counselor
Primary
10291-125
WI
Other
Enumeration date
03/09/2023
Last updated
02/19/2026
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