MRS. HEATHER DIANA GREEN M.ED LPC NPI 1619372638

NPI Information

NPI: 1619372638
Provider Name: MRS. HEATHER DIANA GREEN, M.ED, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1085 MAPLE ST
FARMINGTON, MO
ZIP 63640
Phone: (314) 243-3793
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MRS. Heather Diana Green, M.ED, LPC is a professional counselor in Farmington, MO. MRS. Heather Diana Green, M.ED, LPC NPI is 1619372638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1085 MAPLE ST
FARMINGTON, MO
ZIP 63640-955
Phone: (314) 243-3793

The enumeration date for this NPI number is 11/3/2014 and was last updated on 11/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		2012014744	MISSOURI	No
2	101YM0800X	Counselor	Mental Health	2012014744	MISSOURI	No
3	101YP2500X	Counselor	Professional	2012014744	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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