Lee James Greathouse, MA

Individual provider Active NPI Mental Health Counselor · Vineyard Haven, MA

NPI 1912412487 · NPPES record last updated Dec 6, 2017

Key facts

NPI
1912412487
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
111 Edgartown Rd
Vineyard Haven, MA 02568-5699
Phone
(508) 693-7900
Fax
(508) 693-0401
NPI assigned
Dec 6, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

111 Edgartown Rd
Vineyard Haven, MA 02568-5699

Mailing address

111 Edgartown Road
Vineyard Haven, MA 02568
Phone (508) 693-7900

Other providers in Vineyard Haven, MA

All providers in Vineyard Haven, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.