MRS. JENICE IVETTE GREEN (NPI# 1750810214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750810214 |
| Entity Type | Individual |
| Full Name | MRS. JENICE IVETTE GREEN |
| Practice Address |
801 Oakwood St Apt 6g Bennettsville SC 29512-2465 |
| Practice Telephone | (843) 472-7776 |
| Mailing Telephone | 8434727776 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Street Address |
801 OAKWOOD ST APT 6G |
| City | BENNETTSVILLE |
| State | SC |
| Zip Code | 29512-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841371 | Anna Paige Paul | Counselor | 1035 Cherau St, Bennettsville, SC 29512 | 2016-06-06 |
| 1821468679 | Kristen Dana Oliver | Social Worker | 1035 Cherow St., Bennettsville, SC 29512 | 2015-10-05 |
| 1285022749 | 3-points Coastal Care,llc | Community/Behavioral Health | 1300 West Main St, Bennettsville, SC 29512 | 2015-01-06 |
| 1437572328 | Terri Cardenas Woodham | Pharmacist | 336 Highway 9 West, Bennettsville, SC 29512 | 2014-01-28 |
| 1851712533 | Amy Kessler | Pharmacist | 336 Hwy 9 West, Bennettsville, SC 29512 | 2013-12-23 |
| 1346677184 | Daniel Louis Lockamy | Counselor | 284 Tatum Rd, Bennettsville, SC 29512 | 2013-10-10 |
| 1164772596 | Melissa Irene Pletan | Pharmacist | 1085 Cottingham Blvd, Ste 3, Bennettsville, SC 29512 | 2012-09-13 |
| 1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
| 1649572710 | Ingram Health Service/manna House.inc | Case Management | 211 N Market Street, Bennettsville, SC 29512 | 2010-11-23 |
| 1952564387 | Gregory Wayne Alford | Community Health Worker | 610 State Street Ext, Bennettsville, SC 29512 | 2008-07-07 |
| Find all providers in zip 29512 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770948457 | Lorraine Tavarez Lopez | Psychologist | 1 Windsor Cv Ste 404, Columbia, SC 29223-1833 | 2015-12-22 |
| 1265847255 | Tracy Redfearn Inc. | Psychologist | 702b W Carolina Ave, Hartsville, SC 29550-4412 | 2014-06-27 |
| 1356604466 | Brittany Moree Rudy | Psychologist | 127 W Antrim Dr, Greenville, SC 29607-2505 | 2012-06-22 |
| 1376847483 | Susan Kreh Beck | Psychologist | 304 Firebridge Rd, Columbia, SC 29223-5122 | 2011-01-04 |
| 1710215520 | James Reid | Psychologist | 670 Blvd De France, Parris Island, SC 29905 | 2009-12-07 |
| 1710212196 | Tabitha Delaina Ball | Psychologist | 1199 Chivalry St, Sumter, SC 29154-7412 | 2009-10-02 |
| 1346410446 | William Harrison Wells | Psychologist | 1665 Herlong Ct Ste B, Rock Hill, SC 29732-1193 | 2008-03-04 |
| 1164692497 | Michael Gene Dodson | Psychologist | 145 Veranda Lane, Aiken, SC 29803-4907 | 2008-03-03 |
| 1437363330 | Joshua Gordon Chinitz | Psychologist | 1578 Dowden Ct, Charleston, SC 29407-5011 | 2007-05-09 |
| 1174740625 | David Silas Green | Psychologist | 1016 Vaucluse Road, Aiken, SC 29801 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
| City | BENNETTSVILLE |
| Zip Code | 29512 |
Please comment or provide details below to improve the information on MRS. JENICE IVETTE GREEN.
| 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.