Dionne Renee Green | Troy, MI • PECOS Search

Dionne Renee Green

Counselor

Behavioral Health & Social Service Providers

179 E Maple Rd, Suite 110, Troy, MI 48083-2715

PECOS Enrollment

Based on the most recent information from CMS, provider Dionne Renee Green does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:52 AM.

Profile Details

Provider ID
1225261183
Provider Type
Individual
Full Name
Green, Dionne Renee
Credential
MA LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/26/2009
Last Updated
10/17/2013

Contact Information

Practice Location

179 E Maple Rd, Suite 110, Troy, MI 48083-2715

Unlisted Fax

Mailing Location

179 E Maple Rd, Suite 110, Troy, MI 48083-2715

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 6401009942 Michigan