Individual provider · Type 1 NPI

Benita Green

Counselor · Stone Mountain, GA

NPI number 1851868616 Active

Practice location

5300 Memorial Dr Ste 121
Stone Mountain, GA 30083-3154

Mailing address

256 Strickland St
Fairburn, GA 30213-1130

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X005547 (GA)
Professional Counselor 101YP2500XNone listed
Counselor Primary 101Y00000XLPC015186 (GA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1851868616

Benita Green's National Provider Identifier is 1851868616, issued on Oct 30, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Jan 27, 2025.