Shontanae Imani Green, MS, LPC, NCC - Counselor in Grovetown, GA

Shontanae Imani Green, MS, LPC, NCC is a Counselor - Mental Health based in Grovetown, Georgia. Shontanae Imani Green is licensed to practice in Georgia (license number LPC014138) and her current practice location is 247 Sassafras Ln, Grovetown, Georgia. She can be reached at her office (for appointments etc.) via phone at (706) 631-1882.

NPI number for Shontanae Imani Green is 1134885411 and her current mailing address is 247 Sassafras Ln, Grovetown, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134885411.

Contact Information

Shontanae Imani Green, MS, LPC, NCC
247 Sassafras Ln,
Grovetown, GA 30813-7300
(706) 631-1882
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShontanae Imani Green
GenderFemale
SpecialityCounselor - Mental Health
Location247 Sassafras Ln, Grovetown, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134885411
  • Provider Enumeration Date: 11/11/2021
  • Last Update Date: 09/19/2023

Medical Identifiers

Medical identifiers for Shontanae Imani Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134885411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPC014138 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shontanae Imani Green is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shontanae Imani Green, MS, LPC, NCC
247 Sassafras Ln,
Grovetown, GA 30813-7300

Ph: (706) 631-1882
Shontanae Imani Green, MS, LPC, NCC
247 Sassafras Ln,
Grovetown, GA 30813-7300

Ph: (706) 631-1882

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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