Green, Teri

Green, Teri is an individual health care provider with primary practice located at 5701 W Talavi Blvd Suite 180, Glendale AZ 85306-1886. 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, Teri can be contacted via phone (623) 486-8202.

Contact Information

Primary practice address
5701 W Talavi Blvd Suite 180 Glendale AZ 85306-1886
Phone: (623) 486-8202
Fax: (623) 486-2739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW-12722 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMSW-11867 Arizona

Profile Details

NPI number 1467658658
LBN Legal business name Green, Teri
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Sep 15th, 2011 - about 13 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 1467658658 NPPES
Arizona Other LCSW-12722 STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
Arizona Other LMSW-11867 STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS

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