Green, Lemarrick

Green, Lemarrick is an individual health care provider with primary practice located at 365 W Reed Rd Ste A-1 , Greenville MS 38701-6967. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Green, Lemarrick can be contacted via phone (662) 702-5108.

Contact Information

Primary practice address
365 W Reed Rd Ste A-1 Greenville MS 38701-6967
Phone: (662) 702-5108
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1457861106
LBN Legal business name Green, Lemarrick
Credentials MHT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2017
Last updated Oct 9th, 2017 - about 8 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 1457861106 NPPES
Mississippi MEDICAID 1396196879

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