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MR. RANDY DALE GREEN MS, LAC
NPI 1689804320
Counselor - Mental Health in Fordyce, AR

Active since July 15, 2009
1101 W 3RD ST, FORDYCE, AR 71742(870) 352-5122(870) 352-5127 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Randy Dale Green Ms, Lac NPPES

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

MR. RANDY DALE GREEN MS, LAC (NPI 1689804320) is an individual mental health provider in Fordyce, Arkansas, licensed in Arkansas (P1109064) and active in the NPI registry since July 2009. He maintains a secondary practice location in Hot Springs.

NPPES Registry Identity

NPI1689804320
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. RANDY DALE GREENCredential: MS, LAC
Location Address1101 W 3RD STFordyce, AR 71742-3014
Mailing Address1101 W 3rd StFordyce, AR 71742-3014 · (870) 352-5122 · Fax (870) 352-5127
Phone(870) 352-5122
Fax(870) 352-5127
Sole ProprietorYes
Enumeration DateJuly 15, 2009
Last NPPES UpdateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1689804320 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 AR · P1109064
1101 W 3RD ST, Fordyce, AR 71742
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Secondary Practice Location 1

Location 1600 Main St Ste VHot Springs, AR 71913-4964 · Phone (501) 321-8200 · Fax (501) 321-8202

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.

SHANNA MARLAR MHPP
Case Manager/Care Coordinator
1101 W 3RD ST
FORDYCE, AR 71742
Dallas County (870) 352-5122
MRS. CHERIE ANN BONANNO MHPP
Case Manager/Care Coordinator
1101 W 3RD ST
FORDYCE, AR 71742
Dallas County (870) 352-5122
MRS. BRENDA DUREY MHPP
Case Manager/Care Coordinator
1101 W 3RD ST
FORDYCE, AR 71742
Dallas County (870) 352-5122
MRS. ROBIN JOHNSTON RADFORD MHPP
Case Manager/Care Coordinator
1101 W 3RD ST
FORDYCE, AR 71742
Dallas County (870) 352-5122
MRS. SAMARA NOLEN MHPP
Case Manager/Care Coordinator
1101 W 3RD ST
FORDYCE, AR 71742
Dallas County (870) 352-5122
MISS RYLEE GARNER MHPP
Case Manager/Care Coordinator
1101 W 3RD ST
FORDYCE, AR 71742
Dallas County (870) 352-5122
DEBRA PERRY MHPP
Case Manager/Care Coordinator
1101 W 3RD ST
FORDYCE, AR 71742
Dallas County (870) 352-5122
SHANNA LAMB
Behavior Analyst
1101 W 3RD ST
FORDYCE, AR 71742
Dallas County (870) 352-5122

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 Randy Green's NPI number?

The NPI number for Randy Green is 1689804320. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Randy Green located?

Randy Green practices at 1101 W 3rd St, Fordyce, AR 71742. The listed phone number is (870) 352-5122.

What is Randy Green'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 Randy Green was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.