Organization
GREEN VALLEY THERAPY, L.L.C.
Active
Organization
GREEN VALLEY THERAPY, L.L.C.
Active
Parent organization
GREEN VALLEY THERAPY, L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREEN VALLEY THERAPY, L.L.C.
Authorized official
DIANNE WENCZKOWSKI (CREDENTIALING SPECIALIST)
(301) 381-4586
Entity
Organization
Contact information
Practice address
9 SAINT PAUL ST STE 2, BOONSBORO, MD 21713-1334
(301) 381-4586
Mailing address
9 SAINT PAUL ST STE 2, BOONSBORO, MD 21713-1334
(301) 381-4586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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