Provider Demographics
NPI:1518347137
Name:GREELEY COUNSELING SERVICES PA
Entity type:Organization
Organization Name:GREELEY COUNSELING SERVICES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:GREELEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-818-8257
Mailing Address - Street 1:206 KINGS MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:SC
Mailing Address - Zip Code:29745-1168
Mailing Address - Country:US
Mailing Address - Phone:803-818-8257
Mailing Address - Fax:
Practice Address - Street 1:108 E LIBERTY ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-1549
Practice Address - Country:US
Practice Address - Phone:803-818-8257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5754101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty