Green & Co. Wellness Collective, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GREEN & CO. WELLNESS COLLECTIVE, PLLC

Practice address

1215 Alpha Rd
Henderson, NC 27536-2523

Phone

(984) 837-0066

NPI assigned

Sep 4, 2025

Organization subpart

No

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

Authorized official

Name

Shaneicia Green, MSW, LCSWNPI 1275115222

Title

LCSW

Phone

(984) 837-0066

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaneicia D Green, LCSW

  • Clinical Social Worker
  • Henderson, NC
  • NPI 1275115222
  NPD Authorized official

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1760362248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 ALPHA RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362523",
            "telephone_number": "984-837-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 ALPHA RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362523",
            "telephone_number": "984-837-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN & CO. WELLNESS COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SHANEICIA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "984-837-0066",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granville Vance Community Health Inc.
• Granville-Vance District Health Department
• Nancy Gray-Terry, MSW, LCSW
• Brandon S Gray, COHC
• Lara Royster Gray, AU.D.
• Green Rural Redevelopment Organization
• Green-Bullock Assisted Living Center
• Shaneicia D Green, LCSW
• Tyree Jonta Green, LCSWA
• Dana Stewardson Greenway, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Henderson, NC
• Providers in Henderson, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.