| Green Psychotherapy Llc | |
|
1005 Wild Willow Way # 122 Verona WI 53593-1223 | |
| (608) 891-1526 | |
| Not Available |
| Full Name | Green Psychotherapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1005 Wild Willow Way, Verona, Wisconsin |
| Authorized Official Name and Position | Nicholas Robert Green (OWNER) |
| Authorized Official Contact | 6088911526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Psychotherapy Llc 200 E Verona Ave # 1075 Verona WI 53593-1223 Ph: (608) 891-1526 | Green Psychotherapy Llc 1005 Wild Willow Way # 122 Verona WI 53593-1223 Ph: (608) 891-1526 |
| NPI Number | 1821933011 |
|---|---|
| Provider Enumeration Date | 04/22/2026 |
| Last Update Date | 04/22/2026 |
| Certification Date | 04/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821933011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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