Green, Carmaneila L.

Green, Carmaneila L. is an sole proprietor health care provider with primary practice located at 67 S Dixie Hwy , St Augustine FL 32084-0317. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Green, Carmaneila L. can be contacted via phone (904) 429-7573.

Contact Information

Primary practice address
67 S Dixie Hwy St Augustine FL 32084-0317
Phone: (904) 429-7573
Fax: (904) 547-2731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 000738 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000738 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000738 Florida

Profile Details

NPI number 1396001756
LBN Legal business name Green, Carmaneila L.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2012
Last updated Sep 26th, 2012 - about 14 years ago

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