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

Stacie Diane Green

Individual provider Mental Health Counselor · NPI 1386972628

Stacie Diane Green is a Mental Health Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1315 Windrim Ave
Philadelphia, PA 19141-2710
Phone: (609) 502-8609
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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

Record details

NPI number1386972628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 25, 2009
Last updated in NPPESNovember 25, 2009

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