Provider Demographics
NPI:1922714427
Name:GREENHOUSE PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:GREENHOUSE PSYCHOTHERAPY LLC
Other - Org Name:LAURA BUTTS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:217-520-1086
Mailing Address - Street 1:223 N ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62220-1316
Mailing Address - Country:US
Mailing Address - Phone:618-474-9733
Mailing Address - Fax:
Practice Address - Street 1:223 N ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62220-1316
Practice Address - Country:US
Practice Address - Phone:618-474-9733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)