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PHYLLIS GREEN
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1902308240
Individual Registrant: PHYLLIS GREEN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2780 SW 37TH AVE STE 206 COCONUT GROVE, FL 33133-2740 US
Tel: 305-646-0112 Fax: --
Tel: 305-646-0112 Fax: --
Contact information for business:
2780 SW 37TH AVE STE 206 COCONUT GROVE, FL 33133-2740 US
Tel: 305-646-0112 Fax: --
Tel: 305-646-0112 Fax: --
Registration Information:
NPI: 1902308240
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101Y00000X | Behavioral Health & Social Service Providers Counselor |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
