Green, Joycelyn

Green, Joycelyn is an individual health care provider with primary practice located at 1110 Clay St , Vicksburg MS 39183-2912. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Green, Joycelyn can be contacted via phone (601) 738-5820.

Contact Information

Primary practice address
1110 Clay St Vicksburg MS 39183-2912
Phone: (601) 738-5820
Fax: (601) 738-5083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X C8401 Mississippi

Profile Details

NPI number 1649879461
LBN Legal business name Green, Joycelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2020
Last updated Jan 7th, 2022 - about 3 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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