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NPI 1477060887

NPI 1477060887 : ELIZABETH MICHELE GREEN LPC : NEW ORLEANS, LA

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General NPI Number Information
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    NPI Number           |    1477060887
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH MICHELE GREEN LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/08/2018
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    716 ADAMS ST 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70118-3931
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    Country              |    US
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    Telephone            |    908-892-4272
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3307 CHESTNUT ST 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70115-2438
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    Country              |    US
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    Telephone            |    908-892-4272
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    6247
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    License Number State |    LA
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