| Green Acres Counseling And Group Services Llc | |
|
3100 E 45th St Ste 212c Cleveland OH 44127-1093 | |
| (216) 438-2846 | |
| Not Available |
| Full Name | Green Acres Counseling And Group Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 3100 E 45th St Ste 212c, Cleveland, Ohio |
| Authorized Official Name and Position | Carolyn Green (OWNER) |
| Authorized Official Contact | 2166338644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Acres Counseling And Group Services Llc 2283 E 100th St Cleveland OH 44106-3501 Ph: (216) 633-8644 | Green Acres Counseling And Group Services Llc 3100 E 45th St Ste 212c Cleveland OH 44127-1093 Ph: (216) 438-2846 |
| NPI Number | 1417514654 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417514654 | NPI | - | NPPES |
| 0287012 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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