Mr. Earl Mark Green
Counselor (Professional)

Address: 4621 Country Creek Dr Apt 1044, Dallas, TX 75236-1220
Phone: 2146368956

Mr. Earl Mark Green (NPI# 1700409026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1700409026
Entity Type Individual
Full Name Mr. Earl Mark Green
Credential M.A. LPC, NCC
Gender Male
Practice Address 4621 Country Creek Dr Apt 1044
TX 75236-1220
Practice Telephone 2146368956
Mailing Address 4621 Country Creek Dr Apt 1044
TX 75236-1220
Mailing Telephone 2146368956
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-05-20
Last Update Date 2020-05-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YP2500X Counselor · Professional Behavioral Health & Social Service Providers 13051 TX

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Office Location

Street Address 4621 COUNTRY CREEK DR APT 1044
State TX
Zip Code 75236-1220

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952805962 Braken Group, LLP Clinic/Center 6431 Rosalie Dr, Dallas, TX 75236 2018-03-23
1952732398 Shauna Jones Military Hospital 4504 Bronzeway, Dallas, TX 75236 2013-12-11
1295857902 Patricia A Welborn Physician Assistant 5701 W Kiest Blvd, Dallas, TX 75236-1047 2007-04-04
1871757401 Occupational Health Centers of The Southwest, P.a. Clinic/Center 5701 W Kiest Blvd, Dallas, TX 75236-1047 2008-07-13
1659517829 Eagle Advantage Academy, Inc. Local Education Agency (LEA) 4011 Joseph Hardin Dr Ste F, Dallas, TX 75236-1507 2008-12-18
1972700995 James Robert Auvil Optometrist 3911 S Walton Walker Blvd, Dallas, TX 75236-1509 2007-07-02
1558698068 Aafes Optometry (kadena) Clinic/Center 3911 S Walton Walker Blvd, Fa-c/or, Dallas, TX 75236-1509 2009-11-05
1750726345 Laura V Settlage Registered Nurse 5222 Whispering Oaks Dr, Dallas, TX 75236-1740 2013-05-08
1386096055 Camey Allen Contractor 4919 Cedarbrier Dr, Dallas, TX 75236-1842 2016-07-06
1316302011 Hopkins & Blackwell Enterprise LLC Case Manager/Care Coordinator 4823 Pachuca Ct, Dallas, TX 75236-1930 2015-12-22
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Search similar providers

Zip Code 75236

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.