Healthcare Provider Details

I. General information

NPI: 1992268155
Provider Name (Legal Business Name): ARTHUR GREENE LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1044 E BRANDON BLVD
BRANDON FL
33511-5509
US

IV. Provider business mailing address

1526 FIREWHEEL DR
WESLEY CHAPEL FL
33543-6559
US

V. Phone/Fax

Practice location:
  • Phone: 813-403-4423
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH19663
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: