MR. Randy Dale Green MS, LAC

  • NPI 1689804320
According to our database, the NPI number for MR. Randy Dale Green MS, LAC is 1689804320 and activated since 14 years ago. MR. Randy Dale Green MS, LAC is an individual provider who specializes in Mental Health, and the primary practice location is 1101 W 3rd St, Fordyce, AR 71742. You can also contact MR. Randy Dale Green MS, LAC via telephone number is (870) 352-5122. Provider NPI information was last updated on 03/25/2021.

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Overview of MR. Randy Dale Green MS, LAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/15/2009
  • Last updated: 03/25/2021

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: P1109064
  • License State: AR

Provider Mailing Address

  • Address: 1101 W 3rd St
    Fordyce, AR 71742
  • Phone: 870-352-5122
  • Fax: 870-352-5127

Provider Practice Location

  • Address: 1101 W 3rd St
    Fordyce, AR 71742
  • Phone: 870-352-5122
  • Fax: 870-352-5127

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: A0907069
  • License State: AR
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Randy Dale Green MS, LAC?
  • A: The npi number for MR. Randy Dale Green MS, LAC is 1689804320.
  • Q: What are MR. Randy Dale Green MS, LAC's specialties?
  • A: MR. Randy Dale Green MS, LAC's specialties are Mental Health and different specialities.
  • Q: What is the medical license for MR. Randy Dale Green MS, LAC?
  • A: The medical license number for MR. Randy Dale Green MS, LAC is P1109064 and issued in AR in USA.
  • Q: Where is MR. Randy Dale Green MS, LAC practice location?
  • A: MR. Randy Dale Green MS, LAC is practicing at 1101 W 3rd St, Fordyce, AR 71742.
  • Q: How to contact MR. Randy Dale Green MS, LAC?
  • A: You can contact MR. Randy Dale Green MS, LAC via 870-352-5122.