Green, Maxine Cecilia
Green, Maxine Cecilia is an sole proprietor health care provider with primary practice located at 1634 London Blvd , Portsmouth VA 23704-2137. 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, Maxine Cecilia can be contacted via phone (757) 393-7200.Contact Information
Primary practice address
1634 London Blvd
Portsmouth VA 23704-2137
Phone: (757) 393-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0904007774 | Virginia |
Profile Details
| NPI number | 1013270933 |
|---|---|
| LBN Legal business name | Green, Maxine Cecilia |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2012 |
| Last updated | Jun 18th, 2012 - about 12 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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