Robert A Green, LPC
Individual provider Active NPI Professional Counselor · Darien, GA
NPI 1255528014 · NPPES record last updated Sep 26, 2007
Key facts
- NPI
- 1255528014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC004870 (GA)
- Practice address
- 1000 Commissioner Dr
Darien, GA 31305-9487 - Phone
- (912) 437-7300
- Fax
- (912) 437-9481
- NPI assigned
- Sep 26, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004870 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004870 | GA | Yes |
Addresses
Primary practice location
1000 Commissioner Dr
Darien, GA 31305-9487
Mailing address
1000 Commissioner Dr
Darien, GA 31305-9487
Phone (912) 437-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC004870 | Other | GA | STATE LICENSE NUMBER |
Other providers in Darien, GA
- Gateway Community Service Board
- Georgette a. Pronesti
- Donna T. Ginn
- Golden Isles Coastal Medicine, LLC
- Sondra Shantel Graham
- Mark Allen Haddock
- Saajidah Harris
- Zhane Asare Jackson
- Jehovah-Jireh
- Jet'S Pharmacy, LLC
All providers in Darien, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2007. 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.