CORETTA GREEN (NPI# 1972042265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972042265 |
| Entity Type | Individual |
| Full Name | CORETTA GREEN |
| Credential | LPC |
| Practice Address |
2121a Bellevue Rd Dublin GA 31021-2998 |
| Mailing Address |
2310 Scott Dr Dublin GA 31021-3017 |
| Practice Telephone | 4782756811 |
| Mailing Telephone | 4782903915 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
GA | Behavioral Health & Social Service Providers |
| Street Address |
2121A BELLEVUE RD |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043203839 | Sandra L Souza | Family Medicine | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2005-08-26 |
| 1194339119 | Elizabeth Sheridan Pittman | Registered Nurse | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2020-09-08 |
| 1154885580 | Amy T Solen | Behavioral Analyst | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2019-01-30 |
| 1912417437 | Kristi Leigh Stinson | Marriage & Family Therapist | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2017-10-11 |
| 1174973234 | Jessica Saunders Land | Counselor | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2016-06-20 |
| 1568812386 | Hope Leeann Fowler | Counselor | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2016-06-13 |
| 1740677541 | Ashton Smith | Licensed Practical Nurse | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2015-04-20 |
| 1639566433 | Kizzy Oliver | Registered Nurse | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2015-04-20 |
| 1841699154 | Bridget Rose Connell | Counselor | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2014-08-22 |
| 1275949547 | Jennifer Shepard | Licensed Practical Nurse | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2014-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332900 | Angela Charlton | Counselor | 5166 Baskerville St, Dublin, VA 24084-3645 | 2020-06-26 |
| 1518583624 | Robert Moses Spaulding II | Counselor | 201 Kings Road, Kingswood Subdivision, Dublin, GA 31021-6439 | 2020-06-24 |
| 1811469661 | Rachel Mary White | Counselor | 2121a Bellevue Rd Bldg 4, Dublin, GA 31021-9073 | 2018-12-18 |
| 1851870331 | Gwendolyn T Edmond | Counselor | 103 Mercer Dr Ste B, Dublin, GA 31021-4257 | 2018-08-07 |
| 1215425368 | Marisa Rae Chovan | Counselor | 7614 Mill Bench Ct Apt A, Dublin, OH 43016-9114 | 2018-04-24 |
| 1821517855 | Allison K Lombardo | Counselor | 525 Metro Pl N Ste 300, Dublin, OH 43017-5320 | 2017-09-11 |
| 1629596275 | Julie Battaglia | Counselor | 525 Metro Place, Suite 100, Dublin, OH 43017 | 2017-09-05 |
| 1447773411 | Crissy Bontrager | Counselor | 6047 Frantz Rd Ste 105, Dublin, OH 43017-3365 | 2017-07-21 |
| 1639615792 | Serena Fluker | Counselor | 1041 Maid Marian Ln, Dublin, GA 31021-0690 | 2017-01-13 |
| 1710343645 | Safehaven Counseling Services,llc | Counselor | 2792 Us Highway 80 W, Dublin, GA 31021-0907 | 2016-01-07 |
| Find all providers in DUBLIN | ||||
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| 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.