Provider Demographics
NPI:1134957087
Name:THERAPY GREENHOUSE, LLC
Entity type:Organization
Organization Name:THERAPY GREENHOUSE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATHALIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:OBARA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:908-368-3939
Mailing Address - Street 1:732 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-2925
Mailing Address - Country:US
Mailing Address - Phone:908-368-1393
Mailing Address - Fax:
Practice Address - Street 1:732 20TH AVE
Practice Address - Street 2:
Practice Address - City:BELMAR
Practice Address - State:NJ
Practice Address - Zip Code:07719-2925
Practice Address - Country:US
Practice Address - Phone:908-368-1393
Practice Address - Fax:908-663-1169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health