Provider Type Icon

EVERGREEN THERAPEUTIC TREATMENT CENTERS LLC NPI 1720665987


NPI Information

NPI: 1720665987
Provider Name: EVERGREEN THERAPEUTIC TREATMENT CENTERS LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
110 PARK CENTER DR
PARKERSBURG, WV
ZIP 26101
Phone: (419) 733-3889
Get Directions

EVERGREEN THERAPEUTIC TREATMENT CENTERS LLC is an adolescent and children mental health clinic center in Parkersburg, WV. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. EVERGREEN THERAPEUTIC TREATMENT CENTERS LLC NPI is 1720665987. The provider is registered as an organization entity type.

The provider's business location address is:

110 PARK CENTER DR
PARKERSBURG, WV
ZIP 26101-929
Phone: (419) 733-3889

The provider's authorized official is Jamie Tuttle .
The authorized official title is Chief Executive Of Operations and has the following contact phone number (419) 733-3889.

The enumeration date for this NPI number is 3/25/2021 and was last updated on 3/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.