Betty Green, M.A.
Individual provider Active NPI Counselor · Kingstree, SC
NPI 1144634676 · NPPES record last updated Jun 12, 2014
Key facts
- NPI
- 1144634676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 209 Hampton Ave
Kingstree, SC 29556-3415 - Phone
- (843) 401-0005
- Fax
- (843) 401-0006
- NPI assigned
- Jun 12, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seed Harvest Time Residential Behavioral Services, LLC | Counselor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
209 Hampton Ave
Kingstree, SC 29556-3415
Mailing address
209 Hampton Ave
Kingstree, SC 29556-3415
Phone (843) 401-0005
Other providers in Kingstree, SC
- James A. Graham Jr.
- Meridith Tara Graham
- Sheretta Graham
- Tashanda Graham
- Letitia Chovine Grayson
- Cynthia Annette Greene-Dukes
- Christopher Gregor
- Erick Grier
- Whitney Ard Grier
- David Fox Grossman
All providers in Kingstree, SC · Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.