Green, Randy

Green, Randy is an individual health care provider with primary practice located at 410 S Franklin St , Bastrop LA 71220. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Green, Randy can be contacted via phone (318) 410-1062.

Contact Information

Primary practice address
410 S Franklin St Bastrop LA 71220
Phone: (318) 410-1062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1053763102
LBN Legal business name Green, Randy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2016
Last updated Jun 6th, 2018 - about 7 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.

Request for update

Popular Providers