Green, Michele Denise

Green, Michele Denise is an sole proprietor health care provider with primary practice located at 903 Pavilion Ct Ste D , Mcdonough GA 30253-6672. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Green, Michele Denise can be contacted via phone (404) 913-9114.

Contact Information

Primary practice address
903 Pavilion Ct Ste D Mcdonough GA 30253-6672
Phone: (404) 913-9114
Fax: (404) 529-4729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC008640 Georgia

Profile Details

NPI number 1235429093
LBN Legal business name Green, Michele Denise
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2011
Last updated Feb 27th, 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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