Candace Lavern Green, RESIDENT - Counselor in Va Beach, VA

Candace Lavern Green, RESIDENT is a Counselor - Mental Health based in Va Beach, Virginia. Candace Lavern Green is licensed to practice in Virginia (license number 0704016556) and her current practice location is 291 Independence Blvd Bldg 4, Va Beach, Virginia. She can be reached at her office (for appointments etc.) via phone at (757) 593-9971.

NPI number for Candace Lavern Green is 1598502320 and her current mailing address is 16 Centre Port Cir, Portsmouth, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598502320.

Contact Information

Candace Lavern Green, RESIDENT
291 Independence Blvd Bldg 4,
Va Beach, VA 23462-5481
(757) 593-9971
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameCandace Lavern Green
GenderFemale
SpecialityCounselor - Mental Health
Location291 Independence Blvd Bldg 4, Va Beach, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598502320
  • Provider Enumeration Date: 07/10/2024
  • Last Update Date: 07/10/2024

Medical Identifiers

Medical identifiers for Candace Lavern Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598502320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 0704016556 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candace Lavern Green is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Candace Lavern Green, RESIDENT
16 Centre Port Cir,
Portsmouth, VA 23703-5453

Ph: (757) 593-9971
Candace Lavern Green, RESIDENT
291 Independence Blvd Bldg 4,
Va Beach, VA 23462-5481

Ph: (757) 593-9971

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