Provider Demographics
NPI:1235746629
Name:GREERE, LOUISE
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:
Last Name:GREERE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MORGAN CT
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604
Mailing Address - Country:US
Mailing Address - Phone:901-497-5958
Mailing Address - Fax:423-247-6006
Practice Address - Street 1:3 MORGAN CT
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604
Practice Address - Country:US
Practice Address - Phone:901-497-5958
Practice Address - Fax:423-247-6006
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician