The Green Fern, LLC
NPI #1336029313 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1336029313
- Entity Type
- Organization
- Organization Name
- The Green Fern, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 2, 2025
- Last Updated
- Sep 2, 2025
Practice Location
- Address
- 900 S SHACKLEFORD RD
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72211-3817
- Phone
- (501) 794-9496
Authorized Official
- Name
- KELLIE FUGERE, LCSW 7926-C
- Title
- ORGANIZER/MANAGER/OFFICER
- Phone
- (501) 794-9496
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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