Eliza Lidie Green
Eliza Lidie Green is a Mental Health Counselor in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.
- Licensed in
- PA
- In the registry since
- 2023
Practice location Address checks out
1080 N Delaware AvePhiladelphia, PA 19125-4330
Phone: (804) 887-0643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence PC016375 (PA) |
|---|
Record details
| NPI number | 1740059138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 27, 2023 |
| Last updated in NPPES | January 11, 2024 |
| Certification date | January 11, 2024 |
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