Provider Demographics
NPI:1407187420
Name:GREEN, SILVER & ASSOCIATES
Entity Type:Organization
Organization Name:GREEN, SILVER & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALEX
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-808-2786
Mailing Address - Street 1:1700 MERIDENE DR
Mailing Address - Street 2:SUITE 611
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2032
Mailing Address - Country:US
Mailing Address - Phone:410-808-2786
Mailing Address - Fax:
Practice Address - Street 1:800 N CHARLES ST
Practice Address - Street 2:SUITE 3R
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5318
Practice Address - Country:US
Practice Address - Phone:410-435-1435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2308101YA0400X, 101YM0800X, 101YP2500X
MDLCA 196101YA0400X
MDLC 2343101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty