Amy Melissa Greene, LCSW
Individual provider Active NPI Mental Health Counselor · Mount Judea, AR
NPI 1275895435 · NPPES record last updated May 16, 2022
Key facts
- NPI
- 1275895435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6609-C (AR)
- Practice address
- 329 NC 4526
Mount Judea, AR 72655-4024 - Phone
- (501) 902-5250
- NPI assigned
- Jun 13, 2012
- Sex
- Female
- 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 |
|---|---|---|---|
| 6609-C | AR | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 6609-C | AR | Yes |
Addresses
Primary practice location
329 NC 4526
Mount Judea, AR 72655-4024
Mailing address
7800 Iowa Dr
Little Rock, AR 72227-4030
Phone (501) 804-6537
Other practice location 1
4701 Fairway Ave
North Little Rock, AR 72116-8066
Phone (501) 771-8261
Other names
- Amy Melissa Duzan
Other providers in Mount Judea, AR
All providers in Mount Judea, AR · Mental Health Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2022. 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.