Green Valley Therapy, L.L.C.
Social Worker, Clinical in Boonsboro, MD. Organization (NPI-2).
NPI number1104773399
StatusActive
Last updated in NPPESMar 16, 2026
Details
- NPI
- 1104773399
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Valley Therapy, L.L.C.
- Organization subpart
- Yes
- Enumeration date
- Mar 16, 2026
- Certification date
- Mar 16, 2026
- Last updated
- Mar 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
9 Saint Paul St Ste 2Boonsboro, MD 21713-1334
Phone 301-381-4586
Mailing address
9 Saint Paul St Ste 2Boonsboro, MD 21713-1334
Phone 301-381-4586
Authorized official
Dianne Wenczkowski
Credentialing Specialist
3013814586
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