Provider Demographics
NPI:1437793122
Name:GREENHOUSE PSYCHOLOGY AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:GREENHOUSE PSYCHOLOGY AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:PATTERSON
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:919-726-8848
Mailing Address - Street 1:3820 SAINT LUCY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525-7376
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1415 W NC HIGHWAY 54 STE 213
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5578
Practice Address - Country:US
Practice Address - Phone:919-726-8848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)