Individual
ANGELA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4700 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5800
(954) 735-4530
Mailing address
4740 N STATE ROAD 7 STE 201, LAUDERDALE LAKES, FL 33319-5839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW21225
FL
171M00000X
Case Manager/Care Coordinator
SW21225
FL
Other
Enumeration date
06/12/2025
Last updated
05/08/2026
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