Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDY DALE GREEN, MS, LAC
Active Sole ProprietorMR. RANDY DALE GREEN, MS, LAC is a Mental Health Counselor healthcare provider located in FORDYCE, Arkansas. NPI 1689804320 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · FORDYCE, AR
Registration Details
- NPI Number
- 1689804320
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2009 (17.066079851956 yrs)
- Last Updated
- Mar 25, 2021
- License
-
P1109064 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1101 W 3RD STFORDYCE, AR, 717423014Browse AR providers · Browse ZIP 71742
- Phone
- 8703525122
- Fax
- 8703525127
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in FORDYCE, AR
| Name | Credential | NPI |
|---|---|---|
| SARA MARIE MANN | LPC | 1790820140 |
| MR. DAN MOORE | M.S., L.A.C. | 1982733952 |
| TRACY ANN PEFFERKORN | LPC | 1619007226 |
| LESLEY SELF FORD | LPC | 1134259443 |
| BRITTANY LIVINGSTON | LPC | 1184839706 |
| JUDY PRINCE | LPC | 1053540732 |
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.