Organization
GREENGATE NEUROBEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA GREENLEE PSY.D. (OWNER)
(937) 776-5012
Entity
Organization
Contact information
Practice address
19 N 5TH AVE, BEECH GROVE, IN 46107-1325
(937) 776-5012
Mailing address
19 N 5TH AVE, BEECH GROVE, IN 46107-1325
(937) 776-5012
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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