Green, Freida Louise

Green, Freida Louise is an individual health care provider with primary practice located at 5602 Glenrock Dr , Fayetteville NC 28303-6005. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Green, Freida Louise can be contacted via phone (910) 705-0631.

Contact Information

Primary practice address
5602 Glenrock Dr Fayetteville NC 28303-6005
Phone: (910) 705-0631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4421 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 72715 North Carolina

Profile Details

NPI number 1134325103
LBN Legal business name Green, Freida Louise
Credentials MA, LPC, LCAS, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jan 27th, 2014 - about 10 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 1134325103 NPPES
North Carolina Other 140JU BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 6102788 BLUE CROSS BLUE SHIELD

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