WALTER J. GREEN
NPI 1144836404
Counselor - Professional in Cordova, TN
- Individual
- Male
- Counselor
- Professional
About WALTER GREEN
This page provides the complete NPI Profile along with additional information for Walter Green, a provider established in Cordova, Tennessee with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1144836404 assigned on September 2020. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1144836404 Verify this NPI
- Provider Name
- WALTER J. GREEN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1120 MOSSY KNOLL DR CORDOVA, TN 38018
- Location Phone
- (901) 334-6363
- Mailing Address
- 1120 MOSSY KNOLL DR CORDOVA, TN 38018
- Mailing Phone
- (901) 334-6363
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-21-2020
- Last Update Date
- 09-21-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144836404, enumerated as an "individual" on September 21, 2020.
The provider is located at 1120 MOSSY KNOLL DR CORDOVA, TN 38018 and the phone number is (901) 334-6363.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
