MARVIN GREENE (NPI# 1528572765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528572765 |
| Entity Type | Individual |
| Full Name | MARVIN GREENE |
| Practice Address |
600 Mariners Plaza Dr Ste 601 Mandeville LA 70448-6827 |
| Mailing Address |
8310 Woodbend Dr Semmes AL 36575-8507 |
| Practice Telephone | 9854654250 |
| Mailing Telephone | 2516228480 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669692372 | Marvin Greene | Dentist | 2449 N Lincoln Ave, Chicago, IL 60614-2414 | 2007-04-26 |
| Street Address |
600 MARINERS PLAZA DR STE 601 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-6827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376040188 | Tonia Antoinette Suddeth | Counselor | 600 Mariners Plaza Dr Ste 601, Mandeville, LA 70448 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1114370293 | Hollie Ledet | Counselor | 400 Mariners Plaza Dr Ste 427, Mandeville, LA 70448-6850 | 2016-07-13 |
| 1184004582 | Ahmad D Evans | Counselor | 5150 Highway 22 Ste C11, Mandeville, LA 70471-2670 | 2015-06-02 |
| 1518356542 | Michael Marsh | Counselor | 640 Village Ln N Ste B, Mandeville, LA 70471 | 2015-01-14 |
| 1326489402 | Alexis Kateridge | Counselor | 600 Mariners Plaza Dr Ste 603, Mandeville, LA 70448-6826 | 2013-07-17 |
| 1184853863 | Kathryn R O'neil | Counselor | 2240 11th St Ste D, Mandeville, LA 70471-6507 | 2009-07-02 |
| 1235375726 | Stephanie Nash Bourgeois | Counselor | 1212 Montgomery St, Mandeville, LA 70448-5442 | 2009-01-05 |
| 1407981780 | Melanie Joan Johnston | Counselor | 111 N Causeway Blvd Ste 205, Mandeville, LA 70448-4660 | 2007-02-23 |
| 1144365677 | Walton Huge Ehrhardt | Counselor | 362 Winchester Cir, Mandeville, LA 70448-1936 | 2007-02-21 |
| 1780724039 | Andrea Bridget Toups | Counselor | 2000 N Causeway Blvd, Suite E, Mandeville, LA 70471-3154 | 2007-02-07 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
Please comment or provide details below to improve the information on MARVIN GREENE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.