MS. FREIDA LOUISE GREEN MA LPC LCAS NCC NPI 1134325103

NPI Information

NPI: 1134325103
Provider Name: MS. FREIDA LOUISE GREEN, MA, LPC, LCAS, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5602 GLENROCK DR
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 705-0631
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MS. Freida Louise Green, MA, LPC, LCAS, NCC is a mental health counselor in Fayetteville, NC. MS. Freida Louise Green, MA, LPC, LCAS, NCC NPI is 1134325103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5602 GLENROCK DR
FAYETTEVILLE, NC
ZIP 28303-005
Phone: (910) 705-0631

The enumeration date for this NPI number is 6/26/2007 and was last updated on 1/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	72715	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	4421	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6102788	MEDICAID	NORTH CAROLINA
2	140JU	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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