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ELIZA LIDIE GREEN
NPI 1740059138
Counselor - Mental Health in Philadelphia, PA

Active since December 27, 2023
1080 N DELAWARE AVE, PHILADELPHIA, PA 19125(804) 887-0643 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eliza Lidie Green NPPES

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

ELIZA LIDIE GREEN (NPI 1740059138) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC016375) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1740059138
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZA LIDIE GREEN
Location Address1080 N DELAWARE AVEPhiladelphia, PA 19125-4330
Mailing Address1080 N Delaware AvePhiladelphia, PA 19125-4330 · (215) 496-0707
Phone(804) 887-0643
Sole ProprietorNo
Enumeration DateDecember 27, 2023
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1740059138 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 PA · PC016375
1080 N DELAWARE AVE, Philadelphia, PA 19125
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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.

EMMA VILA-GILLAM
Behavior Analyst
1080 N DELAWARE AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 496-0707
SALLY CARPENTER LPC
Counselor (Professional)
1080 N DELAWARE AVE, SUITE 202
PHILADELPHIA, PA 19125
Philadelphia County (215) 425-7727
HEPHSIBAH M. LOEB
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1080 N DELAWARE AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 496-0707
ANGELINE LINNAN LPC
Counselor (Mental Health)
1080 N DELAWARE AVE, SUITE 600
PHILADELPHIA, PA 19125
Philadelphia County (215) 496-0707
JOSELLE PALACIOS RN
Registered Nurse
1080 N DELAWARE AVE, SUITE 300D
PHILADELPHIA, PA 19125
Philadelphia County (215) 287-2114
DR. EUGENIA KOTSIS M.D.
Psychiatry & Neurology (Psychiatry)
1080 N DELAWARE AVE, SUITE 600
PHILADELPHIA, PA 19125
Philadelphia County (215) 496-0707
JESSICA MOLEANO MS, LPC
Counselor (Professional)
1080 N DELAWARE AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 496-0707
SHALOM INC
Community/Behavioral Health
1080 N DELAWARE AVE, SUITE 602
PHILADELPHIA, PA 19125
Philadelphia County (215) 425-7727

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 Eliza Green's NPI number?

The NPI number for Eliza Green is 1740059138. It was assigned to this individual provider in the NPPES registry on December 27, 2023.

Where is Eliza Green located?

Eliza Green practices at 1080 N Delaware Ave, Philadelphia, PA 19125. The listed phone number is (804) 887-0643.

What is Eliza 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 Eliza Green was last updated on January 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.