THORA GREAVES LMSW NPI 1639385263

NPI Information

NPI: 1639385263
Provider Name: THORA GREAVES, LMSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
107 WATER ST
SUITE #206
BENTON HARBOR, MI
ZIP 49022
Phone: (269) 861-5084
Get Directions

Thora Greaves, LMSW is a mental health counselor in Benton Harbor, MI. Thora Greaves, LMSW NPI is 1639385263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

107 WATER ST
SUITE #206
BENTON HARBOR, MI
ZIP 49022-451
Phone: (269) 861-5084
Fax: (269) 934-0557

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	6801077510	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	639385263	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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