Healthcare Provider Details

I. General information

NPI: 1689772832
Provider Name (Legal Business Name): MARGARET KAREN GREENE LPC LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN GREENE

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JOHNSON FERRY RD #E-250
MARIETTA GA
30068-2192
US

IV. Provider business mailing address

1000 JOHNSON FERRY RD #E-250
MARIETTA GA
30068-2192
US

V. Phone/Fax

Practice location:
  • Phone: 770-973-8208
  • Fax: 770-973-6695
Mailing address:
  • Phone: 770-973-8208
  • Fax: 770-973-6695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC 311
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT 751
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: