National Provider Identifier
Samantha Renee Green
Samantha Renee Green is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Webster, NY and a listed phone number of (585) 755-7811.
Profile Overview
- NPI
- 1437708047
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 06, 2019
- Last Updated
- July 22, 2024
Practice Location
- 1900 Empire Blvd
- Suite 184
- Webster, NY 14580-1297
Phone: (585) 755-7811
Mailing Address
- 46 Country Ln
- Penfield, NY 14526-1029
Specialties
- Mental Health Counselor (101YM0800X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1437708047
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Samantha
- Middle Name
- Renee
- Mailing Street Address
- 46 Country Ln
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-1029
- Mailing Country
- US
- Mailing Phone
- (585) 755-7811
- Practice Street Address
- 1900 Empire Blvd
- Practice Address Line 2
- Suite 184
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-1297
- Practice Country
- US
- Practice Phone
- (585) 755-7811
- Enumeration Date
- September 06, 2019
- Last Updated
- July 22, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 22, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Mental Health Counselor (101YM0800X)