MEDICARE: GREEN COUNSELING & CONSULTING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1215449699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREEN COUNSELING & CONSULTING SERVICES LLC

Provider Business Mailing Address
First Line	:	4808 HILLBROOK AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-2147
Country	:	US
Telephone Number	:	804-691-1949
Fax Number	:	804-597-2637

Provider Business Practice Location Address
First Line	:	4808 HILLBROOK AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-2147
Country	:	US
Telephone Number	:	804-691-1949
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	YOSHIKO GREEN
Credential	:	LPC
Telephone Number	:	804-691-1949

Provider Enumeration Date	:	10/25/2017
Last Update Date	:	01/09/2025

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