Provider Demographics
NPI:1861959116
Name:KATE GREENEN LMFT LLC
Entity type:Organization
Organization Name:KATE GREENEN LMFT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREENEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:802-451-6055
Mailing Address - Street 1:262 WESTERN AVE RM 2
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6246
Mailing Address - Country:US
Mailing Address - Phone:802-451-6055
Mailing Address - Fax:
Practice Address - Street 1:1222 PUTNEY RD # 301
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-9000
Practice Address - Country:US
Practice Address - Phone:802-451-6055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty