Green Light Behavioral Health Services LLC

NPI #1992654107 in Richmond, Virginia

Provider Information

NPI Number: 1992654107
Entity Type: Organization
Organization Name: Green Light Behavioral Health Services LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 22, 2026
Last Updated: Jan 22, 2026

Practice Location

Address: 605 GRAYSON AVE
City: Richmond
State: Virginia
ZIP Code: 23222
Phone: (804) 482-0309

Authorized Official

Name: MRS. JACQUELYN DENISE GREEN-HANCOK, MSW, LCSW-S
Title: OWNER
Phone: (804) 482-0309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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