Provider Demographics
NPI:1790674752
Name:GREZA, ANNE H (LGSW, PMH-C)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:H
Last Name:GREZA
Suffix:
Gender:F
Credentials:LGSW, PMH-C
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:L
Other - Last Name:HARMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-4580
Mailing Address - Country:US
Mailing Address - Phone:304-241-1766
Mailing Address - Fax:304-381-2648
Practice Address - Street 1:100 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-4580
Practice Address - Country:US
Practice Address - Phone:304-241-1766
Practice Address - Fax:304-381-2648
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP00945322104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker