MR. ROBERT LAWRENCE GREEN LCMHC NPI 1538120480

NPI Information

NPI: 1538120480
Provider Name: MR. ROBERT LAWRENCE GREEN, LCMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1233 SHELBURNE ROAD
SUITE D 4
SOUTH BURLINGTON, VT
ZIP 05403
Phone: (802) 658-2390
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MR. Robert Lawrence Green, LCMHC is a mental health counselor in South Burlington, VT. MR. Robert Lawrence Green, LCMHC NPI is 1538120480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1233 SHELBURNE ROAD
SUITE D 4
SOUTH BURLINGTON, VT
ZIP 05403-753
Phone: (802) 658-2390

The enumeration date for this NPI number is 3/30/2006 and was last updated on 7/8/2007.

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	0680000015	VERMONT	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	30423776	MEDICAID	NEW HAMPSHIRE
2	347880	OTHER		MVP
3	1006850	MEDICAID	VERMONT
4	5062	OTHER	VERMONT	BCBS

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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