Organization
LIFE SKILLS INSTITUTE & CLINIC, INC.
Active
Organization
LIFE SKILLS INSTITUTE & CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET GREEN EDD, LP (LICENSEED PSYCHOLOGIST)
(763) 476-1031
Entity
Organization
Contact information
Practice address
3937 ORCHID LN N, PLYMOUTH, MN 55446-3281
(763) 476-1031
(763) 476-0181
Mailing address
3937 ORCHID LN N, PLYMOUTH, MN 55446-3281
(763) 476-1031
(763) 476-0181
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0148
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05915GR
BLUE CROSS BLUE SHIELD
MN
01
—
41147
PREFERRED ONE PROV ID
MN
01
—
6181110
MEDICA PROVIDER ID
MN
Enumeration date
11/01/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up