# GREEN THUMB INITIATIVE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GTI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952163388
- **Authorized official:** BRIAN MONAHAN (BUSINESS DIRECTOR)
- **Authorized official phone:** (719) 792-9431

## Contact information

- **Practice address:** 613 MAIN ST STE 10, CANON CITY, CO 81212-3776
- **Practice address phone:** (719) 792-9431
- **Mailing address:** 1012 MAIN ST, CANON CITY, CO 81212-3465
- **Mailing address phone:** (719) 792-9431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 01/30/2024
- **Last updated:** 07/21/2024