AUTUMN MAREE GREEN - NPI 1902510787 - Counselor in Garland, TX

Q: What is Autumn Green's NPI number?

The NPI number for Autumn Green is 1902510787. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Q: What is Autumn Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Green was last updated on January 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Autumn Maree Green NPPES

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

AUTUMN MAREE GREEN (NPI 1902510787) is an individual mental health provider in Garland, Texas and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1902510787

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameAUTUMN MAREE GREEN

Location Address618 CLARA BARTON BLVD STE 7Garland, TX 75042-5731

Mailing Address618 Clara Barton Blvd Ste 7Garland, TX 75042-5731 · (214) 385-5445

Phone(214) 385-5445

Sole ProprietorYes

Enumeration DateJanuary 6, 2023

NPPES CertifiedJanuary 6, 2023

✔ NPI 1902510787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

618 CLARA BARTON BLVD STE 7, Garland, TX 75042

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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 15

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

BRENDAUL LYBBERT

Counselor (Professional)