Healthcare Provider Details

I. General information

NPI: 1356258396
Provider Name (Legal Business Name): THE GREEN BOOK WELLNESS COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S 8TH ST STE 5
STROUDSBURG PA
18360-1614
US

IV. Provider business mailing address

111 S 8TH ST STE 5
STROUDSBURG PA
18360-1614
US

V. Phone/Fax

Practice location:
  • Phone: 570-977-7726
  • Fax:
Mailing address:
  • Phone: 570-977-7726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: BINTA ALLEYNE-GREEN
Title or Position: OWNER
Credential: DR.
Phone: 570-977-7726