Greenleaf Psychology

LBN: Greenleaf Psychology
Greenleaf Psychology is an health care organization with primary practice located at 3157 E 17Th Ave , Spokane WA 99223-5136. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Greenleaf Psychology can be contacted via phone (509) 838-8066, or through Charboneau, Gregory via phone (509) 838-8066.

Contact Information

Primary practice address
3157 E 17Th Ave Spokane WA 99223-5136
Phone: (509) 838-8066
Fax: (800) 594-8305
Website:
Map and Directions
Authorized official contact:
Name: Charboneau, Gregory EDD, QEEG, BCN, BCB
Phone: (509) 838-8066

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X PY00002046 Washington

Profile Details

NPI number 1619420379
LBN Legal business name Greenleaf Psychology
DBA Doing business as
Authorized official Charboneau, Gregory EDD, QEEG, BCN, BCB
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2016
Last updated Jul 29th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619420379 NPPES
Washington Other 1790773463 INDIVIDUAL NPI

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