Individual
LYTISA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, CPC, CHW, CPW
Contact information
Practice address
PO BOX 132732, DALLAS, TX 75313-2732
(602) 710-8093
Mailing address
PO BOX 132732, DALLAS, TX 75313-2732
(602) 710-8093
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
374J00000X
Doula
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/26/2024
Last updated
05/27/2025
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