Green Holistic Recovery, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GREEN HOLISTIC RECOVERY, LLC

Practice address

4520 Wichers Dr Ste 202
Marrero, LA 70072-3135

Phone

(504) 606-9316

Fax

(504) 383-0937

NPI assigned

Mar 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dwana Johnson Green, SCD

Title

Chief Executive Officer

Phone

(504) 606-9316

Specialties & licenses 13

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James B Hyatt, MD

  • Family Medicine Physician
  • Raceland, LA
  • NPI 1891878427

  Addiction Medicine

  Medicare reassignment NPD
• Maritza Elizabeth Salgado, DNP, APRN, FNP

  • Family Nurse Practitioner
  • River Ridge, LA
  • NPI 1902884158
  NPD
• Lajuan Marchee' Verrett, APRN, FNP-C

  • Family Nurse Practitioner
  • Gretna, LA
  • NPI 1417106485
  NPD
• Beth Anne Smith, MHS, PLPC

  • Addiction (Substance Use Disorder) Counselor
  • New Orleans, LA
  • NPI 1699225037
  NPD (past)
• Ada Ruth Nelson, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Sun City, AZ
  • NPI 1245380666
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1023719010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 WICHERS DRIVE",
            "address_2": "SUITE 202",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-606-9316",
            "fax_number": "504-383-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 WICHERS DR STE 202",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723135",
            "telephone_number": "504-606-9316",
            "fax_number": "504-383-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HOLISTIC RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DWANA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "504-606-9316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SCD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554-99-5381",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433-04-7938",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Gray
• Robyn Gray
• Greater New Orleans Eye Care LLC
• Greater New Orleans Eye Care LLC-Westbank
• Bradley Nobile Greco, LOTR
• Stephen Tyler Green, M.D.
• Lila Brooke Greenwalt, RN
• Holly Gregg
• Clementine Griffin, LMSW
• William Griffin, PHARMD

• Substance Use Disorder Rehabilitation Clinic/Center in Marrero, LA
• Providers in Marrero, LA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.