Dr. Michell Greenidge's National Provider Identifier (NPI) Details
Dr. Michell Greenidge, LCSW
NPI: 1578878849
Enumeration Date: 2010-08-11
Last updated: 2021-12-21
Sole Proprietor: NO
Status: active
Postal Address: 221 3RD ST W, JBSA RANDOLPH, TX
Phone: 210-565-0696
Primary Practice Address: 221 3RD ST W, JBSA RANDOLPH, TX
Practice's phone: 210-565-0696