Green, Lisa
Green, Lisa is an sole proprietor health care provider with primary practice located at 133 N West St Ste C , Easton MD 21601-9920. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Green, Lisa can be contacted via phone (443) 607-2455.Contact Information
Primary practice address
133 N West St Ste C
Easton MD 21601-9920
Phone: (443) 607-2455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LGP8009 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC9677 | Maryland |
Profile Details
| NPI number | 1710497912 |
|---|---|
| LBN Legal business name | Green, Lisa |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2017 |
| Last updated | Nov 16th, 2023 - about 3 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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