MEDICARE: GREENWAY BEHAVIORAL HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1245194257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENWAY BEHAVIORAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	8401 MAYLAND DR # 7092
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23294-4648
Country	:	US
Telephone Number	:	202-836-7944
Fax Number	:

Provider Business Practice Location Address
First Line	:	8401 MAYLAND DR # 7092
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23294-4648
Country	:	US
Telephone Number	:	202-836-7944
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ZAVER D MOORE
Credential	:	PSYD
Telephone Number	:	202-836-7944

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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