Provider Demographics
NPI:1760004683
Name:GREENHOUSE COUNSELING, LLC
Entity Type:Organization
Organization Name:GREENHOUSE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRITTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-338-2244
Mailing Address - Street 1:9511 HOLSBERRY RD STE B7
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-1320
Mailing Address - Country:US
Mailing Address - Phone:850-316-6291
Mailing Address - Fax:609-939-0700
Practice Address - Street 1:9511 HOLSBERRY RD STE B7
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-1320
Practice Address - Country:US
Practice Address - Phone:850-316-6291
Practice Address - Fax:609-939-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty