MEDICARE: MARQUIETTA GREEN LPC, NCC

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
1	101YP2500X	Professional Counselor	015264	GA

General Provider Information

NPI Number	:	1881340917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARQUIETTA GREEN LPC, NCC

Provider Business Mailing Address
First Line	:	2163 VININGS NORTH LN SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-5978
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5881 GLENRIDGE DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-5301
Country	:	US
Telephone Number	:	470-682-3176
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2022
Last Update Date	:	01/03/2026

Similar Medicare Providers

1023010220 — DR. SANJAY A. BHANSALI M.D.
Practice Location Address:

5881 GLENRIDGE DR NE , STE 230
ATLANTA, GA
30328-5301

Practice Phone: 404-943-0170
Practice Fax: 404-943-0171

1417248907 — SUPERIOR SURGICAL ASSOCIATES INC
Practice Location Address:

5881 GLENRIDGE DR NE , SUITE 120
ATLANTA, GA
30328-5301

Practice Phone: 404-303-7703
Practice Fax: 404-303-7706

1184981904 — DEBI C BUCKLAND MS, LMFT, LPC
Practice Location Address:

5881 GLENRIDGE DR NE , SUITE 240
ATLANTA, GA
30328-5301

Practice Phone: 404-842-0696
Practice Fax:

1629468392 — A SUPERIOR CHOICE MEDICAL STAFFING LLC
Practice Location Address:

5881 GLENRIDGE DR , SUITE 140
ATLANTA, GA
30328-5301

Practice Phone: 404-257-1608
Practice Fax: 404-257-1609

1760822779 — DAWNELLE SHAW STEDING
Practice Location Address:

5301 WESTCHESTER RDG NE
ATLANTA, GA
30329-7802

Practice Phone: 770-580-0518
Practice Fax:

1346998747 — LINDSEY ARIEL ROTH LMSW
Practice Location Address:

1411 DUTCH VALLEY PL NE
ATLANTA, GA
30324-5301

Practice Phone: 678-602-2470
Practice Fax:

Directions to “ MARQUIETTA GREEN LPC, NCC” 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.