TIM GREEN LMHC LLC
NPI 1336679950
Counselor - Mental Health in Estero, FL

Active since June 15, 2017
9500 CORKSCREW PALMS CIR STE 3, ESTERO, FL 33928(239) 321-0797(239) 390-0241 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 15, 2017 (2 updates tracked since 2017).

About Tim Green Lmhc Llc NPPES

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

TIM GREEN LMHC LLC (NPI 1336679950) is a healthcare organization registered as a mental health in Estero, Florida and active in the NPI registry since June 2017. The organization maintains a secondary practice location in Ft Myers and lists Tim Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1336679950
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTIM GREEN LMHC LLC
Location Address9500 CORKSCREW PALMS CIR STE 3Estero, FL 33928
Mailing Address229 Ambury StFort Myers, FL 33913-7131 · (239) 321-0797 · Fax (239) 390-0241
Fax(239) 390-0241
Organization SubpartNo
Authorized OfficialTim GreenOwner · (239) 321-0797
Enumeration DateJune 15, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1336679950 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 FL · MH7986
9500 CORKSCREW PALMS CIR STE 3, Estero, FL 33928

Secondary Practice Location 1

Location 112431 Brantley Commons Court, Suite 101Ft Myers, FL 33907 · Phone (239) 321-0797 · Fax (239) 275-6160

Other Identifiers 1

Other1689780603Npi

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 2

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

Counselor (Mental Health)
9500 CORKSCREW PALMS CIR STE 3
ESTERO, FL 33928
Optometrist
9500 CORKSCREW PALMS CIR STE 3
ESTERO, FL 33928

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 Tim Green Lmhc LLC's NPI number?

The NPI number for Tim Green Lmhc LLC is 1336679950. It was assigned to this organization in the NPPES registry on June 15, 2017.

Where is Tim Green Lmhc LLC located?

Tim Green Lmhc LLC is located at 9500 Corkscrew Palms Cir Ste 3, Estero, FL 33928. The listed phone number is (239) 321-0797.

What is Tim Green Lmhc LLC'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 Tim Green Lmhc LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.