Green Holistic Recovery, Llc | |
4520 Wichers Drive Suite 202 Marrero LA 70072 | |
(504) 606-9316 | |
(504) 383-0937 |
Full Name | Green Holistic Recovery, Llc |
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Speciality | Counselor |
Location | 4520 Wichers Drive Suite 202, Marrero, Louisiana |
Authorized Official Name and Position | Dwana Johnson Green (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5046069316 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Green Holistic Recovery, Llc 931 Westwood Dr Ste B Marrero LA 70072-2400 Ph: (504) 606-9316 | Green Holistic Recovery, Llc 4520 Wichers Drive Suite 202 Marrero LA 70072 Ph: (504) 606-9316 |
NPI Number | 1023719010 |
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Provider Enumeration Date | 03/15/2023 |
Last Update Date | 05/06/2024 |
Certification Date | 05/06/2024 |
Medicare PECOS PAC ID | 2567819444 |
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Medicare Enrollment ID | O20231115000026 |
Identifier | Type | State | Issuer |
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1023719010 | NPI | - | NPPES |
Provider Name | James B Hyatt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891878427 PECOS PAC ID: 4486797818 Enrollment ID: I20190924001195 |
Impact Behavior Health Services Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Wichers Dr, Marrero Suite 205b, Marrero, LA 70072 Phone: 504-407-0907 Fax: 504-333-6252 | |
Impact Behavioral Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Wichers Dr, Suite 205, Marrero, LA 70072 Phone: 504-407-0709 Fax: 504-333-6252 | |
Jeffcare West Jefferson Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5001 Westbank Expy, Suite 100, Marrero, LA 70072 Phone: 504-349-8833 Fax: 504-838-5714 | |
Zig N Zag Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3029 Cornell Dr, Dr, Marrero, LA 70072 Phone: 337-443-8427 | |
G. E. Behavioral Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2660 Cedar Creek St, Marrero, LA 70072 Phone: 504-428-4000 | |
Impact Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Wichers Dr Ste 205, Marrero, LA 70072 Phone: 504-407-0709 |