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General NPI Number Information
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NPI Number | 1750990537
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Entity Type | Organization
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Legal Business Name | GREEN ROAD BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 23980 CHAGRIN BLVD STE 107
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City | BEACHWOOD
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State | OH
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Zip | 44122-5542
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Country | US
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Telephone | 216-795-5396
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Fax | 216-795-5382
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Provider Business Mailing Address
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Address Line | 3295 GLENCAIRN RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-3407
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Country | US
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Telephone | 216-702-5542
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Fax | 216-795-5382
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. THOMAS ANDREW BOYD
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Credential | PSY.D.
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Telephone | 216-793-5396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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