Michael G Green, LADC
Counselor, Addiction (Substance Use Disorder) in Stratford, Connecticut
1811687247- Practice location
- 350 Graham St, Stratford, CT 06615-5500
- Phone
- 203-556-4632
- Fax
- —
- Last updated
- May 9, 2023
Michael George Green is a Counselor, Addiction (Substance Use Disorder) based in Stratford, CT. Michael George Green practices in Stratford, CT and has the professional credentials of LADC. The NPI Number for Michael George Green is 1811687247 and holds a License No. 1498 (CT). The current practice location address for Michael George Green is 350 Graham St, Stratford, CT 06615-5500 and can be reached out via phone at 203-556-4632.
Provider Profile Details
- NPI Number
- 1811687247
- Provider Name
- Michael George Green
- Credential
- LADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 350 Graham St, Stratford, CT 06615-5500
- Phone Number
- 203-556-4632
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 9, 2023
- Last Update Date
- May 9, 2023
- Certification Date
- May 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 350 Graham St
Stratford, CT 06615-5500 - City
- Stratford
- State
- Connecticut
- Zip
- 06615-5500
- Phone Number
- 203-556-4632
Provider Business Mailing Address Details
- Address
- 350 Graham St
Stratford, CT 06615-5500 - City
- Stratford
- State
- CT
- Zip
- 06615-5500
- Phone Number
- 203-556-4632
License Information
- License Number
- 1498
- License State
- CT
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael G Green, LADC?
The NPI number of Michael G Green, LADC is 1811687247. It was assigned on May 9, 2023 and is currently active in the NPPES registry.
What is the specialty of Michael G Green, LADC?
Michael G Green, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 1498.
Where does Michael G Green, LADC practice?
The practice location is 350 Graham St, Stratford, CT 06615-5500. The office can be reached at 203-556-4632 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811687247 directly on the NPPES registry website.