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
- 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
- Code Navigator
Location Map
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) |
---|---|---|---|---|
1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
2 | 103TP0016X | Behavioral Health & Social Service Providers | Psychologist | |
3 | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | |
4 | 163WA0400X | Nursing Service Providers | Registered Nurse | |
5 | 171400000X | Other Service Providers | Health and Wellness Coach | |
6 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
7 | 174H00000X | Other Service Providers | Health Educator | |
8 | 207LA0401X | Allopathic & Osteopathic Physicians | Anesthesiology | |
9 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine | |
10 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | |
11 | 2083A0300X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
12 | 2084B0040X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
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.
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 |
---|---|---|---|
XXXX | MEDICAID (05) | LA | |
XXXX | MEDICAID (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. | |||||||||
1 | 0 | 2 | 3 | 7 | 1 | 9 | 0 | 1 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 4 | 3 | 14 | 1 | 18 | 0 | 2 | |
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.