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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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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