Organization
FOREVER CARE BEHAVIORAL HEALTH LLC
Active
Other names
Deishonda Greenwood, Deishonda and Charles Greenwood
Organization subpart
No
Provider details
NPI number
Authorized official
DEISHONDA GREENWOOD (CLINICIAN)
(504) 399-1161
Entity
Organization
Contact information
Practice address
3626 NORTH HALL STREET (TWO OAK LAWN), STE 610, DALLAS, TX 75219
(972) 784-1129
Mailing address
3626 NORTH HALL STREET (TWO OAK LAWN), STE 610, DALLAS, TX 75219
(972) 784-1129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
TX
Enumeration date
05/21/2021
Last updated
05/21/2021
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