IndividualActive
Andre Green, LPC
NPI 1902567175 · Mental Health Counselor · Maricopa, AZ
Provider details
- NPI number
- 1902567175
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- LPC24654 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
41318 W Almira Dr
Maricopa, AZ 85138-4492
Phone: (919) 491-2455
Approximate (ZIP-level) locationGet directions
Mailing address
41318 W Almira Dr
Maricopa, AZ 85138-4492
Registry dates
- Enumerated
- 2022-01-10
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.