Green, Benita

Green, Benita is an individual health care provider with primary practice located at 5300 Memorial Dr Ste 121 , Stone Mountain GA 30083-3154. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Green, Benita can be contacted via phone (404) 254-4500.

Contact Information

Primary practice address
5300 Memorial Dr Ste 121 Stone Mountain GA 30083-3154
Phone: (404) 254-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 005547 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC015186 Georgia

Profile Details

NPI number 1851868616
LBN Legal business name Green, Benita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2018
Last updated Jan 27th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers