Organization
GREENSTONES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA GREEN PMHNP-BC (OWNER)
(601) 488-9668
Entity
Organization
Contact information
Practice address
901 HIGHWAY 80 E, CLINTON, MS 39056-5244
(601) 488-9668
Mailing address
901 HIGHWAY 80 E, CLINTON, MS 39056-5244
(601) 488-9668
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R890966
MS
Other
Enumeration date
03/08/2018
Last updated
08/04/2021
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