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CRYSTAL LACEY GREEN CDCA
NPI 1558874479
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since November 14, 2017
1 ELIZABETH PL, DAYTON, OH 45417(937) 813-1737(937) 813-1737 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Crystal Lacey Green Cdca NPPES

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

CRYSTAL LACEY GREEN CDCA (NPI 1558874479) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (CDCA.163262) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1558874479
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL LACEY GREENCredential: CDCA
Location Address1 ELIZABETH PLDayton, OH 45417-3445
Mailing Address1 Elizabeth PlDayton, OH 45417-3445 · (937) 813-1737 · Fax (937) 949-7497
Phone(937) 813-1737
Fax(937) 813-1737
Sole ProprietorNo
Enumeration DateNovember 14, 2017
✔ NPI 1558874479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.163262
1 ELIZABETH PL, Dayton, OH 45417
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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.

SCOTT A MURRAY MD
Physical Medicine & Rehabilitation
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 309-9670
ALEXANDRIA CORTNEY BROWN CDCA II
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737
ADAM PARKER
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737
RUSSELL GOLDSBY
Case Manager/Care Coordinator
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (318) 131-7379
DONNELLA CHANDELLE WHITE
Licensed Practical Nurse
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737
KARLISSA JENNINGS
Licensed Practical Nurse
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737
SHAUN GUNTER
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737
KRISTI MARTIN
Licensed Practical Nurse
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737

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 Crystal Green's NPI number?

The NPI number for Crystal Green is 1558874479. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Where is Crystal Green located?

Crystal Green practices at 1 Elizabeth Pl, Dayton, OH 45417. The listed phone number is (937) 813-1737.

What is Crystal Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Crystal Green was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.