| Doctor Name: | DR. SOTHIA LASHAN GREEN |
| NPI Number: | 1295086536 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | LCA 341 |
| Business Practice Address: | 6196 Oxon Hill Rd Suite 260 Oxon Hill, MD - 207453100 |
| Business Phone Number: | 3016136043 |
| Business Fax Number: | |
| Mailing Address: | 4301 Midtown Sq, Apt 5027 SUITLAND |
| State: | MD |
| Postal Code: | 207464418 |
| Phone Number: | 3016136043 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2012 |
| NPI Last Update Date: | 09/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCA 341 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |