Organization
GREENHOUSE WELLNESS LLC
Active
Organization
GREENHOUSE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOKNOSH LISMON (CEO)
(317) 794-5070
Entity
Organization
Contact information
Practice address
1345 E CHANDLER BLVD BLDG 2, PHOENIX, AZ 85048-6279
(317) 794-5070
Mailing address
100 N HEARTHSTONE WAY APT 3168, CHANDLER, AZ 85226-0043
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up