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MS. DOMINIQUE GREEN
NPI 1053174664
Counselor - Professional in Marietta, GA

Active since February 05, 2024
50 WHITLOCK PL SW, MARIETTA, GA 30064(404) 369-0816 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Dominique Green NPPES

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

MS. DOMINIQUE GREEN (NPI 1053174664) is an individual professional provider in Marietta, Georgia, licensed in Georgia (APC009183) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1053174664
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. DOMINIQUE GREEN
Location Address50 WHITLOCK PL SWMarietta, GA 30064-3164
Mailing Address4370 Satellite Blvd Apt 510Duluth, GA 30096-4058 · (516) 322-9988
Phone(404) 369-0816
Sole ProprietorYes
Enumeration DateFebruary 5, 2024
NPPES CertifiedDecember 16, 2023
✔ NPI 1053174664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · APC009183
50 WHITLOCK PL SW, Marietta, GA 30064
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN PAUL BERNAL DC
Chiropractor
50 WHITLOCK PL SW, STE 100
MARIETTA, GA 30064
Cobb County (229) 382-3210

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 Dominique Green's NPI number?

The NPI number for Dominique Green is 1053174664. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Dominique Green located?

Dominique Green practices at 50 Whitlock Pl SW, Marietta, GA 30064. The listed phone number is (404) 369-0816.

What is Dominique Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Dominique Green was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.