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Contact Information

THEA A GREEN, LPC
1351 BLACKROCK DR
RICHMOND, VA23225-4101
 Phone: 804-882-6163
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for THEA A GREEN · (Female)

NPI # 1346368636
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 03/26/2007
Last updated 12/19/2012 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0701004328
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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