Green, Kitisha
Green, Kitisha is an individual health care provider with primary practice located at 140 W Washington St Ste 110 , Suffolk VA 23434-5254. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Green, Kitisha can be contacted via phone (757) 768-9178.Contact Information
Primary practice address
140 W Washington St Ste 110
Suffolk VA 23434-5254
Phone: (757) 768-9178
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1114870086 |
|---|---|
| LBN Legal business name | Green, Kitisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2026 |
| Last updated | Jul 15th, 2026 - about 3 months 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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