Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GREEN LIGHT COUNSELING LLC
Active
Organization
GREEN LIGHT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY KAY PROVANCE-WHEELER LPC (OWNER)
(503) 877-3826
Entity
Organization
Contact information
Practice address
4744 LIBERTY RD S STE 20, SALEM, OR 97302-5181
(503) 877-3826
Mailing address
4848 FORSYTHE DR SE, SALEM, OR 97302-2195
(503) 949-9685
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up