Individual
MS. CARNEKA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
257 KINGSMEADOW LN, BLACKLICK, OH 43004-9204
(330) 371-6698
Mailing address
257 KINGSMEADOW LN, BLACKLICK, OH 43004-9204
(330) 371-6698
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
175T00000X
Peer Specialist
APS.006522
OH
175T00000X
Peer Specialist
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
OH
251V00000X
Voluntary or Charitable Agency
—
—
347C00000X
Private Vehicle
—
OH
374J00000X
Doula
—
—
Other
Enumeration date
01/25/2023
Last updated
12/31/2025
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