Organization
GREEN HOUSE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WALLACE PSYD (VICE PRESIDENT)
(603) 668-3050
Entity
Organization
Contact information
Practice address
250 COMMERCIAL STREET, SUITE 3004, MANCHESTER, NH 03101-1118
(603) 668-3050
(603) 668-8666
Mailing address
250 COMMERCIAL STREET, SUITE 3004, MANCHESTER, NH 03101
(603) 668-3050
(603) 668-8666
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
512
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076407
—
NH
05
—
3076408
—
NH
Enumeration date
05/18/2007
Last updated
07/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us