THE GREEN SHELF LLC NPI 1144821265

NPI Information

NPI: 1144821265
Provider Name: THE GREEN SHELF, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
154 NEWRY DR
ATLANTA, GA
ZIP 30349
Phone: (470) 227-1079
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THE GREEN SHELF, LLC is a mental health counselor in Atlanta, GA. THE GREEN SHELF, LLC NPI is 1144821265. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

154 NEWRY DR
ATLANTA, GA
ZIP 30349-112
Phone: (470) 227-1079

The provider's authorized official is April Denise Brown .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (470) 227-1079.

The enumeration date for this NPI number is 11/4/2020 and was last updated on 11/4/2020.

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	Primary
1	101YM0800X	Counselor	Mental Health	Yes
2	101YS0200X	Counselor	School	No
3	1041C0700X	Social Worker	Clinical	No

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	003230778A	MEDICAID	GEORGIA

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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