Greaves, Thora
Greaves, Thora is an sole proprietor health care provider with primary practice located at 107 Water St Suite #206, Benton Harbor MI 49022-3451. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Greaves, Thora can be contacted via phone (269) 861-5084.Contact Information
Primary practice address
107 Water St Suite #206
Benton Harbor MI 49022-3451
Phone: (269) 861-5084
Fax: (269) 934-0557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6801077510 | Michigan |
Profile Details
| NPI number | 1639385263 |
|---|---|
| LBN Legal business name | Greaves, Thora |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2007 |
| Last updated | Aug 25th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639385263 | NPPES |
| Michigan | MEDICAID | 639385263 |
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