Provider Demographics
NPI:1518499136
Name:GREEN, NASEEM ALINE (LMFT-A)
Entity Type:Individual
Prefix:
First Name:NASEEM
Middle Name:ALINE
Last Name:GREEN
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8118 FRY RD STE 401
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7851
Mailing Address - Country:US
Mailing Address - Phone:843-817-7511
Mailing Address - Fax:
Practice Address - Street 1:7145 READING RD
Practice Address - Street 2:APT 1314
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-6330
Practice Address - Country:US
Practice Address - Phone:843-817-7511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-02
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202977106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist