MRS. CRYSTALIZ GREEN M.S.
NPI 1720302904
Counselor - Professional in Philadelphia, PA

Active since March 17, 2010
1235 PINE ST, PHILADELPHIA, PA 19107(215) 735-9379(215) 732-8199 Get Directions Write a Review

NPPES record last updated: April 8, 2014. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mrs. Crystaliz Green M.s. NPPES

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

MRS. CRYSTALIZ GREEN M.S. (NPI 1720302904) is an individual professional provider in Philadelphia, Pennsylvania and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1720302904
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. CRYSTALIZ GREENCredential: M.S.
Location Address1235 PINE STPhiladelphia, PA 19107-5945
Mailing Address1235 Pine StPhiladelphia, PA 19107-5945 · (215) 735-9379 · Fax (215) 732-8199
Fax(215) 732-8199
Sole ProprietorNo
Enumeration DateMarch 17, 2010
Last NPPES UpdateApril 8, 2014
✔ NPI 1720302904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1235 PINE ST, Philadelphia, PA 19107

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.

Social Worker (Clinical)
1235 PINE ST
PHILADELPHIA, PA 19107
Psychologist (Counseling)
1235 PINE ST
PHILADELPHIA, PA 19107
Behavior Analyst
1235 PINE ST
PHILADELPHIA, PA 19107
Counselor (Mental Health)
1235 PINE ST
PHILADELPHIA, PA 19107
Counselor (Mental Health)
1235 PINE ST
PHILADELPHIA, PA 19107
Clinic/Center
1235 PINE ST
PHILADELPHIA, PA 19107
Counselor (Mental Health)
1235 PINE ST
PHILADELPHIA, PA 19107
Counselor (Mental Health)
1235 PINE ST
PHILADELPHIA, PA 19107

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 Crystaliz Green's NPI number?

The NPI number for Crystaliz Green is 1720302904. It was assigned to this individual provider in the NPPES registry on March 17, 2010.

Where is Crystaliz Green located?

Crystaliz Green practices at 1235 Pine St, Philadelphia, PA 19107. The listed phone number is (215) 735-9379.

What is Crystaliz Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Crystaliz Green was last updated on April 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.