| Greenlight Consulting, Llc | |
|
5307 Kavanaugh Blvd Little Rock AR 72207-4610 | |
| (501) 295-3900 | |
| (501) 613-0181 |
| Full Name | Greenlight Consulting, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5307 Kavanaugh Blvd, Little Rock, Arkansas |
| Authorized Official Name and Position | Lisa J Kelley (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 9018270645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenlight Consulting, Llc 1902 Hamilton Ave E Wynne AR 72396-2562 Ph: (901) 827-0645 | Greenlight Consulting, Llc 5307 Kavanaugh Blvd Little Rock AR 72207-4610 Ph: (501) 295-3900 |
| NPI Number | 1376173088 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376173088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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