Green, Bridgette Vannessa

Green, Bridgette Vannessa is an sole proprietor health care provider with primary practice located at 2020 Nw 187Th St , Miami Gardens FL 33056-2717. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Green, Bridgette Vannessa can be contacted via phone (786) 592-8812.

Contact Information

Primary practice address
2020 Nw 187Th St Miami Gardens FL 33056-2717
Phone: (786) 592-8812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1629527213
LBN Legal business name Green, Bridgette Vannessa
Credentials MS, LIFE COACH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2016
Last updated Sep 24th, 2016 - about 9 years ago

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 1629527213 NPPES
Florida MEDICAID 812785084

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