SHAWNNETTA N GREEN LAPC
NPI 1003521725
Counselor - Mental Health in Douglasville, GA

Q: What is Shawnnetta Green's NPI number?

The NPI number for Shawnnetta Green is 1003521725. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Q: What is Shawnnetta Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Shawnnetta Green was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2023

3464 FAIRBURN RD BLDG 4, DOUGLASVILLE, GA 30135(678) 379-3055 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shawnnetta N Green Lapc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNNETTA N GREEN LAPC (NPI 1003521725) is an individual mental health provider in Douglasville, Georgia, licensed in Georgia (APC008679) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1003521725

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHAWNNETTA N GREENCredential: LAPC

Location Address3464 FAIRBURN RD BLDG 4Douglasville, GA 30135-2926

Mailing Address85 Lakeridge DrTemple, GA 30179-4301 · (678) 379-3055

Phone(678) 379-3055

Sole ProprietorNo

Enumeration DateJanuary 17, 2023

NPPES CertifiedJanuary 17, 2023

✔ NPI 1003521725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · APC008679

3464 FAIRBURN RD BLDG 4, Douglasville, GA 30135

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawnnetta Green's NPI number?

The NPI number for Shawnnetta Green is 1003521725. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Where is Shawnnetta Green located?

Shawnnetta Green practices at 3464 Fairburn Rd Bldg 4, Douglasville, GA 30135. The listed phone number is (678) 379-3055.

What is Shawnnetta Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shawnnetta Green was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.