Green Door Behavioral Health
LBN: Green Door Behavioral Health
Green Door Behavioral Health is an health care organization with primary practice located at 1221 Taylor St Nw , Washington DC 20011-5617. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Green Door Behavioral Health can be contacted via phone (202) 464-9200, or through Bebout, Richard via phone (202) 464-9200.
Contact Information
Primary practice address
1221 Taylor St Nw
Washington DC 20011-5617
Phone: (202) 464-9200
Fax: (202) 464-5740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 54000690 | District of Columbia |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | District of Columbia | |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | District of Columbia |
Profile Details
| NPI number | 1801925193 |
|---|---|
| LBN Legal business name | Green Door Behavioral Health |
| DBA Doing business as | |
| Authorized official | Bebout, Richard PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | May 5th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801925193 | NPPES |
| District of Columbia | MEDICAID | 057062300 | |
| District of Columbia | MEDICAID | 036561200 |
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