person
Ms. Mary Alice Green, LMHC
Mental Health Counselor in Melbourne, Florida
NPI 1023165537

Mary Alice Green is a Mental Health Counselor based in Melbourne, FL and is specialized in Mental Health. Mary Alice Green practices in Melbourne, FL and has the professional credentials of LMHC. The NPI Number for Mary Alice Green is 1023165537 and holds a License No. MH2905 (Florida).

The current practice location address for Mary Alice Green is 1299 Bedford Dr, Melbourne, FL and can be reached out via phone at 321-259-1662 and via fax at 321-259-1223.

Location: 1299 Bedford Dr, Melbourne, FL, 32940-1900
person
Provider Profile Details
NPI Number
1023165537
Provider Name
Mary Alice Green
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
1299 Bedford Dr, Melbourne, FL, 32940-1900
Phone Number
321-259-1662
Fax Number
321-259-1223
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104838 01 FL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1299 Bedford Dr
City
State
Zip
32940-1900
Phone Number
321-259-1662
Fax Number
321-259-1223
person
Provider Business Mailing Address Details
Address
1299 Bedford Dr
City
State
Zip
32940-1900
Phone Number
321-259-1662
Fax Number
321-259-1223
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH2905 (Florida)
Definition
Definition to come...
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