Healthcare Provider Details

I. General information

NPI: 1114821444
Provider Name (Legal Business Name): GREEN LIGHT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 MAIN ST STE 3A
BURLINGTON VT
05401-8439
US

IV. Provider business mailing address

110 MAIN ST STE 3A
BURLINGTON VT
05401-8439
US

V. Phone/Fax

Practice location:
  • Phone: 802-540-0222
  • Fax: 844-206-0262
Mailing address:
  • Phone: 802-540-0222
  • Fax: 844-206-0262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. BENJAMIN HOUCHEN
Title or Position: CLINICAL DIRECTOR
Credential: LCMHC
Phone: 802-540-0222