Green, Carol R

Green, Carol R is an sole proprietor health care provider with primary practice located at 173 Sears Ave Suite 274, Louisville KY 40207-5059. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Green, Carol R can be contacted via phone (502) 893-1913.

Contact Information

Primary practice address
173 Sears Ave Suite 274 Louisville KY 40207-5059
Fax: (502) 893-7195
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0016 Kentucky

Profile Details

NPI number 1134281835
LBN Legal business name Green, Carol R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134281835 NPPES
Kentucky Other 0016 FEE BASED COUNSELOR

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