Individual provider · Type 1 NPI

Angelie Greene

Professional Counselor · Decatur, GA

NPI number 1104298611 Active

Practice location

4151 Memorial Dr, Suite 112A
Decatur, GA 30032-1504

Call (404) 644-5131 Map

Mailing address

3961 Floyd Rd, #300-201
Austell, GA 30106-8535

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC008586 (GA)

Professional Counselor: Definition to come...

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About NPI 1104298611

Angelie Greene's National Provider Identifier is 1104298611, issued on Oct 22, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, GA. The record was last updated on Oct 22, 2015.