Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY MALCOM GREEN SR., LPC
Active Sole ProprietorGREGORY MALCOM GREEN SR., LPC is a Mental Health Counselor healthcare provider located in BLOOMFIELD, Connecticut. NPI 1861147902 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BLOOMFIELD, CT
Registration Details
- NPI Number
- 1861147902
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 17, 2022 (4.4616203396735 yrs)
- Last Updated
- Nov 20, 2023
- Licenses
-
005313 (CT)5313 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
701 COTTAGE GROVE RDBLOOMFIELD, CT, 060023080Browse CT providers · Browse ZIP 06002
- Phone
- 8602090625
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in BLOOMFIELD, CT
| Name | Credential | NPI |
|---|---|---|
| MRS. WILMA GORDON COLEMAN | MA, LPC | 1629282751 |
| JUANITA CRISPIN | — | 1619159381 |
| FAITH F. PARSONS | LPC | 1174790687 |
| JENNIFER LEE DANIELEWICZ | — | 1114176989 |
| DR. LAWRENCE WILE | M.D. | 1922249481 |
| VANITY SMITH | — | 1811286289 |
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.