| Greenleaf Family Center | |
|
580 Grant St Akron OH 44311-9910 | |
| (330) 376-9494 | |
| (330) 376-4525 |
| Full Name | Greenleaf Family Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 580 Grant St, Akron, Ohio |
| Authorized Official Name and Position | Dawn R. Glenny (PRESIDENT/CEO) |
| Authorized Official Contact | 3303769494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenleaf Family Center 580 Grant St Akron OH 44311-9910 Ph: (330) 376-9494 | Greenleaf Family Center 580 Grant St Akron OH 44311-9910 Ph: (330) 376-9494 |
| NPI Number | 1457311466 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 05/05/2016 |
| Medicare PECOS PAC ID | 1557320702 |
|---|---|
| Medicare Enrollment ID | O20041005000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457311466 | NPI | - | NPPES |
| 2098386 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Melissa M Marshall-allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194827147 PECOS PAC ID: 3375766389 Enrollment ID: I20140520002002 |
| Provider Name | Michelle Kreidler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356905525 PECOS PAC ID: 5991122947 Enrollment ID: I20200904001419 |
| Provider Name | Monica Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437688918 PECOS PAC ID: 0143640482 Enrollment ID: I20201026002281 |
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