Green, Thea A
Green, Thea A is an individual health care provider with primary practice located at 1351 Blackrock Dr , Richmond VA 23225-4101. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Green, Thea A can be contacted via phone (804) 882-6163.Contact Information
Primary practice address
1351 Blackrock Dr
Richmond VA 23225-4101
Phone: (804) 882-6163
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0701004328 | Virginia |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0701004328 | Virginia |
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 0701004328 | Virginia |
Profile Details
NPI number | 1346368636 |
---|---|
LBN Legal business name | Green, Thea A |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2007 |
Last updated | Dec 19th, 2012 - 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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