Green, Teresa

Green, Teresa is an individual health care provider with primary practice located at 146 S Thomas St Ste C , Tupelo MS 38801-5328. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Green, Teresa can be contacted via phone (662) 840-0974.

Contact Information

Primary practice address
146 S Thomas St Ste C Tupelo MS 38801-5328
Phone: (662) 840-0974
Fax: (662) 840-0388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-171478 Mississippi

Profile Details

NPI number 1093462731
LBN Legal business name Green, Teresa
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2022
Last updated Mar 2nd, 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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