Provider Demographics
NPI:1326894049
Name:GREEN COUNSELING LLC
Entity Type:Organization
Organization Name:GREEN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:614-653-6542
Mailing Address - Street 1:10 E COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-1601
Mailing Address - Country:US
Mailing Address - Phone:614-653-6542
Mailing Address - Fax:
Practice Address - Street 1:10 E COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-1601
Practice Address - Country:US
Practice Address - Phone:614-653-6542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1952741686OtherOPTUM
OH1952742686OtherMED MUTUAL
OH1952742686OtherUHC
OH1952742686Medicaid
OH1952742686OtherAETNA
OH1952742686OtherCIGNA/EVERNORTH