Greenway Recovery Clinical Services

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GREENWAY RECOVERY CLINICAL SERVICES

Practice address

230 E Ocean Ave
Lantana, FL 33462-3236

Phone

(561) 577-1990

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Mandi Duggan, LMHC, LMFT, NCC, CC

Title

Ceo

Phone

(561) 557-1990

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1811449259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E OCEAN AVE",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334623236",
            "telephone_number": "561-577-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E OCEAN AVE",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334623236",
            "telephone_number": "561-577-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY RECOVERY CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-557-1990",
        "authorized_official_credential": "LMHC, LMFT, NCC, CC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "MH 14213",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "ND2162",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": "AP 2290",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Catter Gomez
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• Marco A Gonzalez
• Grand Capital Consulting Care LLC
• Greatdiaz Behavioral Services LLC
• Greenway Recovery Group, LLC
• Greenway Recovery LLC
• Greenway Recovery, LLC
• Sheryl Courtney Gross, M.S.
• Elise Julia Grubb, MS, OTRL

• Specialist in Lantana, FL
• Providers in Lantana, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.