Provider Demographics
NPI:1275138216
Name:DR LASHONDA GREEN COUNSELING CONSULTING & COACHING
Entity Type:Organization
Organization Name:DR LASHONDA GREEN COUNSELING CONSULTING & COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LASHONDA
Authorized Official - Middle Name:T
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:201-899-0311
Mailing Address - Street 1:260 BROADWAY APT 3B
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2583
Mailing Address - Country:US
Mailing Address - Phone:732-404-1555
Mailing Address - Fax:732-234-0353
Practice Address - Street 1:260 BROADWAY APT 3B
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-2583
Practice Address - Country:US
Practice Address - Phone:732-404-1555
Practice Address - Fax:732-234-0353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty