MR. EARL MARK GREEN


Address: 4621 Country Creek Dr Apt 1044, Dallas, TX 75236-1220
Phone: 2146368956

MR. EARL MARK GREEN (NPI# 1700409026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700409026
Entity Type Individual
Full Name MR. EARL MARK GREEN
Credential M.A. LPC, NCC
Practice Address 4621 Country Creek Dr Apt 1044
Dallas
TX 75236-1220
Practice Telephone 2146368956
Mailing Telephone 2146368956
Enumeration Date 2020-05-20
Last Update Date 2020-05-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
13051 TX Behavioral Health & Social Service Providers

Office Location

Street Address 4621 COUNTRY CREEK DR APT 1044
City DALLAS
State TX
Zip Code 75236-1220

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NPI Name Taxonomy Address Enumeration
1952805962 Braken Group, LLP Clinic/Center 6431 Rosalie Dr, Dallas, TX 75236 2018-03-23
1952732398 Shauna Jones Military Hospital 4504 Bronzeway, Dallas, TX 75236 2013-12-11
1588279525 Marquita Michelle Pickens Nurse Practitioner 6817 Historic Vw, Dallas, TX 75236-0109 2020-09-15
1295857902 Patricia A Welborn Physician Assistant 5701 W Kiest Blvd, Dallas, TX 75236-1047 2007-04-04
1871757401 Occupational Health Centers of The Southwest, P.a. Clinic/Center 5701 W Kiest Blvd, Dallas, TX 75236-1047 2008-07-13
1659517829 Eagle Advantage Academy, Inc. Local Education Agency (LEA) 4011 Joseph Hardin Dr Ste F, Dallas, TX 75236-1507 2008-12-18
1972700995 James Robert Auvil Optometrist 3911 S Walton Walker Blvd, Dallas, TX 75236-1509 2007-07-02
1558698068 Aafes Optometry (kadena) Clinic/Center 3911 S Walton Walker Blvd, Fa-c/or, Dallas, TX 75236-1509 2009-11-05
1750726345 Laura V Settlage Registered Nurse 5222 Whispering Oaks Dr, Dallas, TX 75236-1740 2013-05-08
1386096055 Camey Allen Contractor 4919 Cedarbrier Dr, Dallas, TX 75236-1842 2016-07-06
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265033070 Joseph Barber Counselor 114 Hope Dr, Dallas, GA 30157-2569 2020-11-06
1497355754 Charles Alexander Plafcan Counselor 5969 E Northwest Hwy Apt 1092, Dallas, TX 75231-7429 2020-10-27
1730788290 Britton Michele Elliott Counselor 6318 Richmond Ave Unit 1203, Dallas, TX 75214-3686 2020-10-25
1619576634 Kaitlin Short Counselor 2616 Colby St Apt 2105, Dallas, TX 75204-2664 2020-10-21
1356948061 Mary Carlisle Reid-doulgas Counselor 7724 Dentcrest Dr, Dallas, TX 75254-8134 2020-10-06
1316550247 Rodney Dean Beck Counselor 9814 Ridgehaven Dr, Dallas, TX 75238-2621 2020-08-29
1295348852 Elizabeth Thompson Counselor 4100 Spring Valley Rd Ste 520, Dallas, TX 75244-3629 2020-08-24
1245840701 Alaina Michelle Mount Counselor 9535 Forest Ln Ste 288, Dallas, TX 75243-5900 2020-08-08
1992314736 Maritza Garcia Counselor 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 2020-07-28
1316556582 Zhen Barrientos Counselor 7141 Elliott Dr, Dallas, TX 75227-1806 2020-07-23
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Competitor

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City DALLAS
Zip Code 75236

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Dataset Information

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.

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