Yashman Shauntia Greene-Teague, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT002137 Issued in GA

Practice address

707 Whitlock Ave SW Ste H10
Marietta, GA 30064-3098

Phone

(470) 298-7455

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 31, 2025 through Jan 31, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1033807623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 NOBLE CREEK DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303275135",
            "telephone_number": "336-354-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE H10",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643098",
            "telephone_number": "470-298-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE-TEAGUE",
        "first_name": "YASHMAN",
        "middle_name": "SHAUNTIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT002137",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "AMFT000762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patience Chantel Green, MD
• Tita Marie Green, MS
• Ilyssa E Greenberg, D.O.
• Judy Schulman Greenberg, M.ED, LCSW
• Marc F Greenberg, MD
• Deidre J Greene, MD
• Kameron Greene
• Margaret Karen Greene, LPC LMFT
• Toya Dotson Greene, D.D.S.
• Yulanda E Greene, AA-C

• Marriage & Family Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.