Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHONTANAE IMANI GREEN, MS, LPC, NCC
Active Sole ProprietorSHONTANAE IMANI GREEN, MS, LPC, NCC is a Mental Health Counselor healthcare provider located in GROVETOWN, Georgia. NPI 1134885411 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · GROVETOWN, GA
Registration Details
- NPI Number
- 1134885411
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2021 (4.7328650994018 yrs)
- Last Updated
- Sep 19, 2023
- License
-
LPC014138 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
247 SASSAFRAS LNGROVETOWN, GA, 308137300Browse GA providers · Browse ZIP 30813
- Phone
- 7066311882
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in GROVETOWN, GA
| Name | Credential | NPI |
|---|---|---|
| JESSICA SINGLETON | — | 1245576800 |
| KELLY SEGRAVES TYSON | M.S. | 1164769261 |
| KIMBLEE WHITE | MS/ST | 1164913356 |
| AMRINDER KAUR | LPC | 1013507185 |
| MRS. ALYSSA ERINN LYNN JOHNSON | LPC | 1932814969 |
| RASTASSIA ARMSTRONG | — | 1518655281 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.