Greening, Leilani Lani

Greening, Leilani Lani is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Greening, Leilani Lani can be contacted via phone (601) 984-5808.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5808
Fax: (601) 815-4710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 46747 Mississippi

Profile Details

NPI number 1477579167
LBN Legal business name Greening, Leilani Lani
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 21st, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477579167 NPPES
Mississippi MEDICAID 03132221
Mississippi Other 302I623569

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