Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Dominique Green

Individual provider Professional Counselor · NPI 1053174664

MS. Dominique Green is a Professional Counselor in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

50 Whitlock Pl SW
Marietta, GA 30064-3164
Phone: (404) 369-0816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence APC009183 (GA)

Record details

NPI number1053174664
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateDecember 16, 2023

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