GREEN LIGHT COUNSELING LLC NPI 1588387732

NPI Information

  • NPI: 1588387732
  • Provider Name: GREEN LIGHT COUNSELING LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4744 LIBERTY RD S STE 20
    SALEM, OR
    ZIP 97302
  • Phone: (503) 877-3826

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NPI Details

GREEN LIGHT COUNSELING LLC is a mental health (including community mental health center) clinic center in Salem, OR. GREEN LIGHT COUNSELING LLC NPI is 1588387732. The provider is registered as an organization entity type.

The provider's business location address is:

4744 LIBERTY RD S STE 20
SALEM, OR
ZIP 97302-181
Phone: (503) 877-3826

The provider's authorized official is Hillary Kay Provance-wheeler .
The authorized official title is Owner and has the following contact phone number (503) 877-3826.

The enumeration date for this NPI number is 9/22/2022 and was last updated on 9/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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