# FOREVER CARE BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deishonda Greenwood, Deishonda and Charles Greenwood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740855931
- **Authorized official:** DEISHONDA GREENWOOD (CLINICIAN)
- **Authorized official phone:** (504) 399-1161

## Contact information

- **Practice address:** 3626 NORTH HALL STREET (TWO OAK LAWN), STE 610, DALLAS, TX 75219
- **Practice address phone:** (972) 784-1129
- **Mailing address:** 3626 NORTH HALL STREET (TWO OAK LAWN), STE 610, DALLAS, TX 75219
- **Mailing address phone:** (972) 784-1129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 05/21/2021
- **Last updated:** 05/21/2021