Organization
GREEN LIGHT BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYN DENISE GREEN-HANCOK MSW, LCSW-S (OWNER)
(804) 482-0309
Entity
Organization
Contact information
Practice address
605 GRAYSON AVE, RICHMOND, VA 23222
(804) 482-0309
Mailing address
701 E FRANKLIN ST STE 105, RICHMOND, VA 23219-2502
(804) 482-0309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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