Organization
MENTAL MANNA COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE DEZAN GREEN JR. LPC (OWNER)
(919) 491-2455
Entity
Organization
Contact information
Practice address
41318 W ALMIRA DR, MARICOPA, AZ 85138-4492
(919) 491-2455
Mailing address
41318 W ALMIRA DR, MARICOPA, AZ 85138-4492
(919) 491-2455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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