Provider Demographics
NPI:1801242052
Name:GREEN, ORLENE JANICE (LADC, LPC, MA)
Entity type:Individual
Prefix:
First Name:ORLENE
Middle Name:JANICE
Last Name:GREEN
Suffix:
Gender:F
Credentials:LADC, LPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 ALBANY AVE STE 301A
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06112-2132
Mailing Address - Country:US
Mailing Address - Phone:860-339-9614
Mailing Address - Fax:860-232-0179
Practice Address - Street 1:1229 ALBANY AVE STE 301A
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06112-2132
Practice Address - Country:US
Practice Address - Phone:860-339-9614
Practice Address - Fax:860-301-2467
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-06
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003342101YP2500X
CT001173101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional