ANGELIE GREENE
NPI 1104298611
Counselor - Professional in Decatur, GA
Active since October 22, 2015
About Angelie Greene NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELIE GREENE (NPI 1104298611) is an individual professional provider in Decatur, Georgia, licensed in Georgia (LPC008586) and active in the NPI registry since October 2015.
NPPES Registry Identity
NPI1104298611
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELIE GREENE
Location Address4151 MEMORIAL DR, SUITE 112ADecatur, GA 30032-1504
Mailing Address3961 Floyd Rd, #300-201Austell, GA 30106-8535 · (404) 644-5131
Phone(404) 644-5131
Sole ProprietorYes
Enumeration DateOctober 22, 2015
✔ NPI 1104298611 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 · LPC008586
4151 MEMORIAL DR, Decatur, GA 30032
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
4151 MEMORIAL DR, SUITE 107-C
DECATUR, GA 30032
DECATUR, GA 30032
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104298611, enumerated as an "individual" on October 22, 2015.
The provider is located at 4151 MEMORIAL DR SUITE 112A DECATUR, GA 30032 and the phone number is (404) 644-5131.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
