Organization
GREENHOUSE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALLEN GREEN PMHNP (OWNER)
(337) 247-7282
Entity
Organization
Contact information
Practice address
113 FLAGG PL BLDG B, LAFAYETTE, LA 70508-7025
(337) 247-7282
(337) 279-0776
Mailing address
300 HIGHLAND VIEW DR, YOUNGSVILLE, LA 70592-6080
(337) 247-7282
(337) 279-0776
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
01/05/2023
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