Green, Nicole Marie
Green, Nicole Marie is an sole proprietor health care provider with primary practice located at 21611 E 11 Mile Rd Ste A , Saint Clair Shores MI 48081-1636. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Nicole Marie can be contacted via phone (586) 944-2902.Contact Information
Primary practice address
21611 E 11 Mile Rd Ste A
Saint Clair Shores MI 48081-1636
Phone: (586) 944-2902
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1124400932 |
|---|---|
| LBN Legal business name | Green, Nicole Marie |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2015 |
| Last updated | May 8th, 2026 - about 5 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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