Green, Lea Maria Therese

Green, Lea Maria Therese is an sole proprietor health care provider with primary practice located at 98 Park Ave , Babylon NY 11702-1709. 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, Lea Maria Therese can be contacted via phone (802) 532-5642.

Contact Information

Primary practice address
98 Park Ave Babylon NY 11702-1709
Phone: (802) 532-5642
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P14079 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P14097 New York

Profile Details

NPI number 1447876347
LBN Legal business name Green, Lea Maria Therese
Credentials MHC-LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2020
Last updated Mar 29th, 2021 - about 4 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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