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NPI Code Detail

MEDICARE: LINDSEY ANN GREEN LPCC

MEDICARE: LINDSEY ANN GREEN LPCC
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 Counselor1110KY
2101YP2500XProfessional Counselor1110KY

General Provider Information

NPI Number : 1902153919
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY ANN GREEN LPCC
Provider Business Mailing Address
First Line : 4014 OLD MUNFORDVILLE RD
Second Line :
City : CAVE CITY
State : KY
Zip : 42127-9392
Country : US
Telephone Number : 270-791-8322
Fax Number : 270-678-7837
Provider Business Practice Location Address
First Line : 9940 ALVATON RD
Second Line :
City : ALVATON
State : KY
Zip : 42122-9657
Country : US
Telephone Number : 270-791-8322
Fax Number : 270-678-7837
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2012
Last Update Date : 07/14/2014

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Directions to “ LINDSEY ANN GREEN LPCC” Practice Location

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