Greenhouse Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREENHOUSE WELLNESS LLC

Practice address

1345 E Chandler Blvd BLDG 2
Phoenix, AZ 85048-6279

Phone

(317) 794-5070

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Koknosh Lismon

Title

Ceo

Phone

(317) 794-5070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1841914785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HEARTHSTONE WAY APT 3168",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852260043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E CHANDLER BLVD BLDG 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486279",
            "telephone_number": "317-794-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENHOUSE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LISMON",
        "authorized_official_first_name": "KOKNOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-794-5070"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Greenfield, RN
• Mark A Greenfield, D.O.
• Kristina Andrea Greengard
• Chloe Greenhalgh-Adam, LAC
• Evan Michael Greenhall, DO, MA
• Greenlife Behavioral Health Services
• Greenlight ABA Therapy
• David Laurence Greenspan, MD
• Greenstaff Medical Home Care LLC (Greenstaff Medical Staffing)
• Greenstaff Medical Staffing LLC

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.