Barbara Joanne Greenwood

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mora, MN

NPI 1922516533 · NPPES record last updated Jan 17, 2018

Key facts

NPI
1922516533
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
206 Maple Ave E
Mora, MN 55051-1311
Phone
(320) 679-3580
Fax
(320) 679-3579
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Manor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

206 Maple Ave E
Mora, MN 55051-1311

Mailing address

206 Maple Ave E
Mora, MN 55051-1311
Phone (320) 679-3580

Other providers in Mora, MN

All providers in Mora, MN · Addiction (Substance Use Disorder) Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.