Green, Marie Simon

Green, Marie Simon is an individual health care provider with primary practice located at 1547 Parkway , Greenwood SC 29646-4081. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Green, Marie Simon can be contacted via phone (864) 229-7120.

Contact Information

Primary practice address
1547 Parkway Greenwood SC 29646-4081
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1891976817
LBN Legal business name Green, Marie Simon
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated Nov 19th, 2007 - about 17 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 1891976817 NPPES
South Carolina MEDICAID 421504

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