GREEN HOLISTIC RECOVERY, LLC
NPI 1023719010
Clinic/Center - Rehabilitation, Substance Use Disorder in Marrero, LA

NPI Status: Active since March 15, 2023

Contact Information

4520 WICHERS DR STE 202
MARRERO, LA
ZIP 70072
Phone: (504) 606-9316
Fax: (504) 383-0937

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About GREEN HOLISTIC RECOVERY, LLC

This page provides the complete NPI Profile along with additional information for Green Holistic Recovery, Llc, a provider established in Marrero, Louisiana operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1023719010 assigned on March 2023. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated April 2025. Green Holistic Recovery, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Dwana Johnson Green Scd (Chief Executive Officer)

NPI
1023719010
Provider Name
GREEN HOLISTIC RECOVERY, LLC
Entity Type
Organization
Location Address
4520 WICHERS DR STE 202 MARRERO, LA 70072
Location Phone
(504) 606-9316
Location Fax
(504) 383-0937
Mailing Address
4520 WICHERS DRIVE SUITE 202 MARRERO, LA 70072
Mailing Phone
(504) 606-9316
Mailing Fax
(504) 383-0937
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2023
Last Update Date
04-02-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2103TP0016XBehavioral Health & Social Service Providers

Psychologist
Prescribing (Medical)

 
3103TP2701XBehavioral Health & Social Service Providers

Psychologist
Group Psychotherapy

 
4163WA0400XNursing Service Providers

Registered Nurse
Addiction (Substance Use Disorder)

 
5171400000XOther Service Providers

Health and Wellness Coach

 
6171M00000XOther Service Providers

Case Manager/Care Coordinator

 
7174H00000XOther Service Providers

Health Educator

 
8207LA0401XAllopathic & Osteopathic Physicians

Anesthesiology
Addiction Medicine

 
9207QA0401XAllopathic & Osteopathic Physicians

Family Medicine
Addiction Medicine

 
10207RA0401XAllopathic & Osteopathic Physicians

Internal Medicine
Addiction Medicine

 
112083A0300XAllopathic & Osteopathic Physicians

Preventive Medicine
Addiction Medicine

 
122084B0040XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Behavioral Neurology & Neuropsychiatry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DWANA JOHNSON GREEN SCD

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(504) 606-9316

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
XXXXMEDICAID (05)LA 
XXXXMEDICAID (05)LA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023719010
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20431411802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 4 + 1 + 1 + 8 + 0 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1023719010 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023719010, enumerated as an "organization" on March 15, 2023.

The provider is located at 4520 WICHERS DR STE 202 MARRERO, LA 70072 and the phone number is (504) 606-9316.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.