Paula V Greene, LPC

Individual provider Active NPI Counselor · Stuttgart, AR

NPI 1669501458 · NPPES record last updated Mar 24, 2011

Key facts

NPI
1669501458
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
P0609049 (AR)
Practice address
1000 S Main St
Stuttgart, AR 72160-5304
Phone
(870) 413-2130
Fax
(870) 672-7010
NPI assigned
Mar 5, 2007
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

LicenseStateTypeSpecialty
P0609049ARMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X P0609049 AR Yes

Addresses

Primary practice location

1000 S Main St
Stuttgart, AR 72160-5304

Mailing address

2700 Claremont Ave
Pine Bluff, AR 71601-5587
Phone (870) 413-1894

Other providers in Stuttgart, AR

All providers in Stuttgart, AR · Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.