GREEN DOOR THERAPY LLC NPI 1982195301

NPI Information

NPI: 1982195301
Provider Name: GREEN DOOR THERAPY LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
126 N YORK ST STE 2
ELMHURST, IL
ZIP 60126
Phone: (163) 038-4956
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GREEN DOOR THERAPY LLC is a mental health counselor in Elmhurst, IL. GREEN DOOR THERAPY LLC NPI is 1982195301. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

126 N YORK ST STE 2
ELMHURST, IL
ZIP 60126-888
Phone: (163) 038-4956

The provider's authorized official is Brooke Madera .
The authorized official title is Clinical Therapist/ Supervisor and has the following contact phone number (630) 384-9560.

The enumeration date for this NPI number is 5/21/2018 and was last updated on 11/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	251S00000X	Community/Behavioral Health		No
3	101YM0800X	Counselor	Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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