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General NPI Number Information
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NPI Number | 1841151727
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Entity Type | Organization
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Legal Business Name | THE GREEN COLLECTIVE, PLLC- GREEN & GROUNDED
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 140 WALLACE BLVD STE 4
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City | CLARKSVILLE
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State | TN
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Zip | 37042-0924
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Country | US
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Telephone | 931-614-5772
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Fax |
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Provider Business Mailing Address
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Address Line | 140 WALLACE BLVD STE 4
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City | CLARKSVILLE
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State | TN
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Zip | 37042-0924
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALLISON RENTAS GREEN
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Credential | LCSW
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Telephone | 201-446-0779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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