Greene, Kernesha L

Greene, Kernesha L is an sole proprietor health care provider with primary practice located at 4834 Richmond Rd Ste 150 , Cleveland OH 44128-6408. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Greene, Kernesha L can be contacted via phone (216) 561-8300.

Contact Information

Primary practice address
4834 Richmond Rd Ste 150 Cleveland OH 44128-6408
Phone: (216) 561-8300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio
Agencies / Community/Behavioral Health 251S00000X 100283 Ohio

Profile Details

NPI number 1467971911
LBN Legal business name Greene, Kernesha L
Credentials C.D.C.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2017
Last updated Sep 3rd, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467971911 NPPES
Ohio MEDICAID 2374229

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