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

Randy Green

Individual provider Mental Health Counselor · NPI 1053763102

Randy Green is a Mental Health Counselor in Bastrop, Louisiana. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

410 S Franklin St
Bastrop, LA 71220
Phone: (318) 410-1062
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1053763102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2016
Last updated in NPPESJune 6, 2018
Mailing address3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497

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