DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. LYLE GREEN MHC & MFT

MEDICARE: MR. LYLE GREEN MHC & MFT
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorIMH9122FL

General Provider Information

NPI Number : 1255693990
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LYLE GREEN MHC & MFT
Provider Business Mailing Address
First Line : 14401 OLD CUTLER RD
Second Line :
City : PALMETTO BAY
State : FL
Zip : 33158-1722
Country : US
Telephone Number : 786-573-7010
Fax Number :
Provider Business Practice Location Address
First Line : 14401 OLD CUTLER RD
Second Line :
City : PALMETTO BAY
State : FL
Zip : 33158-1722
Country : US
Telephone Number : 786-573-7010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2012
Last Update Date : 06/08/2012

Similar Medicare Providers

1518826452 — KELSEY GRACE CRAYTHORNE MS
Practice Location Address:
14401 OLD CUTLER RD
PALMETTO BAY, FL
33158-1722
Practice Phone: 305-722-5380
Practice Fax:
1558686543 — WELLSPRING COUNSELING, INC.
Practice Location Address:
14401 OLD CUTLER RD
PALMETTO BAY, FL
33158-1722
Practice Phone: 786-573-7009
Practice Fax:
1093086795 — MS. TOVA J KREPS LCSW
Practice Location Address:
14401 OLD CUTLER RD
PALMETTO BAY, FL
33158-1722
Practice Phone: 786-573-7010
Practice Fax:
1053685180 — MRS. MARISOL YESENIA WEAVER
Practice Location Address:
14401 OLD CUTLER RD
PALMETTO BAY, FL
33158-1722
Practice Phone: 786-573-7010
Practice Fax: 888-851-8245
1366708422 — MRS. KATHERINE KRONQUIST GACKLE MFT
Practice Location Address:
14401 OLD CUTLER RD
PALMETTO BAY, FL
33158-1722
Practice Phone: 786-573-7010
Practice Fax:
1447516927 — MRS. HEATHER ELAINE HENDRY IMHC
Practice Location Address:
14401 OLD CUTLER RD
PALMETTO BAY, FL
33158-1722
Practice Phone: 786-573-7010
Practice Fax:

Directions to “ MR. LYLE GREEN MHC & MFT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.