MEDICARE: YOLANDA GREEN CDCA

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.164761	OH

General Provider Information

NPI Number	:	1962992461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA GREEN CDCA

Provider Business Mailing Address
First Line	:	1119 PARKWOOD DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-3614
Country	:	US
Telephone Number	:	216-387-7160
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 SUPERIOR AVE E
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2614
Country	:	US
Telephone Number	:	216-387-7160
Fax Number	:

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

Provider Enumeration Date	:	05/10/2018
Last Update Date	:	05/10/2018

Similar Medicare Providers

1922673235 — JENNY NGUYEN LPCC
Practice Location Address:

600 SUPERIOR AVE
CLEVELAND, OH
44114-2614

Practice Phone: 646-941-7645
Practice Fax: 929-596-7897

1891068235 — POSHOPTIQUE,LLC
Practice Location Address:

600 SUPERIOR AVE E , SUITE 1300
CLEVELAND, OH
44114-2614

Practice Phone: 216-338-7701
Practice Fax: 216-479-6801

1275880619 — INGRAM CO
Practice Location Address:

600 SUPERIOR AVE E
CLEVELAND, OH
44114-2614

Practice Phone: 401-374-9350
Practice Fax:

1033552724 — DR. COLLEEN VICTORY MD
Practice Location Address:

600 SUPERIOR AVE E , SUITE 2400
CLEVELAND, OH
44114-2614

Practice Phone: 216-337-1622
Practice Fax:

1134696487 — NICOLE KNIGHT CERTIFICATE
Practice Location Address:

600 SUPERIOR AVE E
CLEVELAND, OH
44114-2614

Practice Phone: 216-419-2128
Practice Fax:

1457819732 — REBECCA MANOCCHIA
Practice Location Address:

600 SUPERIOR AVE
CLEVELAND, OH
44114-2614

Practice Phone: 740-996-7100
Practice Fax:

Directions to “ YOLANDA GREEN CDCA” 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.