Green, Sheila C

Green, Sheila C is an sole proprietor health care provider with primary practice located at 803 Brisco Ave , Bastrop LA 71220-5161. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Green, Sheila C can be contacted via phone (318) 974-6035.

Contact Information

Primary practice address
803 Brisco Ave Bastrop LA 71220-5161
Phone: (318) 974-6035
Fax: (318) 515-0019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 213 Louisiana
Behavioral Health & Social Service Providers / Professional 101YP2500X 2854 Louisiana

Profile Details

NPI number 1487993937
LBN Legal business name Green, Sheila C
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2013
Last updated Dec 9th, 2022 - about 3 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 1487993937 NPPES
Louisiana MEDICAID 3941503

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