MS. RENETTA DENISE GREEN LICENSED PROFESSIONA NPI 1588145098

NPI Information

NPI: 1588145098
Provider Name: MS. RENETTA DENISE GREEN, LICENSED PROFESSIONA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
FORT JACKSON/ACS 9810 LEE ST
COLUMBIA, SC
ZIP 29207
Phone: (803) 237-6408
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MS. Renetta Denise Green, LICENSED PROFESSIONA is a professional counselor in Columbia, SC. MS. Renetta Denise Green, LICENSED PROFESSIONA NPI is 1588145098. 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:

FORT JACKSON/ACS 9810 LEE ST
COLUMBIA, SC
ZIP 29207
Phone: (803) 237-6408

The enumeration date for this NPI number is 8/23/2018 and was last updated on 8/23/2018.

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	101YP2500X	Counselor	Professional	6129	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: 11/14/2023

NPI Synchronization or Removal

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