Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shontanae Imani Green, MS, LPC, NCC

Individual provider Mental Health Counselor · NPI 1134885411

Shontanae Imani Green, MS, LPC, NCC is a Mental Health Counselor in Grovetown, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

247 Sassafras Ln
Grovetown, GA 30813-7300
Phone: (706) 631-1882
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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 LPC014138 (GA)

Record details

NPI number1134885411
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC , NCC
Sole proprietorYes
NPI enumeratedNovember 11, 2021
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

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