JESSICA YVONNE GREENE LPC NPI 1235696774

NPI Information

NPI: 1235696774
Provider Name: JESSICA YVONNE GREENE, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
630 CHESTNUT RD
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 945-1452
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Jessica Yvonne Greene, LPC is a mental health counselor in Myrtle Beach, SC. Jessica Yvonne Greene, LPC NPI is 1235696774. 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:

630 CHESTNUT RD
MYRTLE BEACH, SC
ZIP 29572-502
Phone: (843) 945-1452
Fax: (843) 945-1489

The enumeration date for this NPI number is 2/20/2019 and was last updated on 2/20/2019.

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	101YM0800X	Counselor	Mental Health	6590	SOUTH CAROLINA	Yes

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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