Tim Green is a Mental Health in Fort Myers, Florida. Tim Green practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Tim Green is 1689780603. The last update date is 2019-03-29.
Tim Green's current location address is 229 Ambury St, Fort Myers, Florida. You can contact this provider via phone number 2393210797 and fax number 2393900241. The mailing address for Tim Green is 229 Ambury St, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim Green |
|---|---|
| Address | 229 Ambury St, Fort Myers, Florida |
| Phone Number | 2393210797 |
| Fax Number | 2393900241 |
| Sole Proprietor | Y |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1689780603 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2019-03-29 |
Provider Mailing Address Detail
| Address | 229 Ambury St |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339137131 |
| Phone Number | 2393210797 |
| Fax Number | 2393900241 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH7986 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Tim Green?
The Tim Green has been issued the NPI (National Provider Identifier) 1689780603 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Tim Green?
The Tim Green is situated at 229 Ambury St, in the city of Fort Myers, state of FL, with the zip code 339137131.
What is Tim Green's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tim Green's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did Tim Green receive its 1689780603 assignment from the Centers for Medicare & Medicaid Services?
The Tim Green was assigned its 1689780603 on 2006-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tim Green last refreshed?
The information related to the Tim Green, including its address, specialty, and other relevant details, was last updated on 2019-03-29.