person
Shannon Patricia Green, LMHC
Mental Health Counselor in Palm Bay, Florida
NPI 1023252368

Shannon Patricia Green is a Mental Health Counselor based in Palm Bay, FL and is specialized in Mental Health. Shannon Patricia Green practices in Palm Bay, FL and has the professional credentials of LMHC. The NPI Number for Shannon Patricia Green is 1023252368 and holds a License No. MH 8211 (Florida).

The current practice location address for Shannon Patricia Green is 490 Centre Lake Dr Ne, Palm Bay, FL and can be reached out via phone at 321-768-6420 and via fax at 321-768-6324.

Location: 490 Centre Lake Dr Ne, Palm Bay, FL, 32907-1113
person
Provider Profile Details
NPI Number
1023252368
Provider Name
Shannon Patricia Green
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
490 Centre Lake Dr Ne, Palm Bay, FL, 32907-1113
Phone Number
321-768-6420
Fax Number
321-768-6324
Provider Enumeration Date
04/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
767205522 05 FL
institution
Provider Business Practice Location Address Details
Address
490 Centre Lake Dr Ne
City
State
Zip
32907-1113
Phone Number
321-768-6420
Fax Number
321-768-6324
person
Provider Business Mailing Address Details
Address
490 Centre Lake Dr Ne
City
State
Zip
32907-1113
Phone Number
321-768-6420
Fax Number
321-768-6324
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH 8211 (Florida)
Definition
Definition to come...
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