EVERGREEN BEHAVIORAL SERVICES NPI 1124101464

NPI Information

NPI: 1124101464
Provider Name: EVERGREEN BEHAVIORAL SERVICES
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 131 FRANKLIN HEALTH COMMONS
SUITE A MT BLUE HEALTH CENTER
FARMINGTON, ME
ZIP 04938
Phone: (207) 778-0035

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NPI Details

EVERGREEN BEHAVIORAL SERVICES is a mental health (including community mental health center) clinic center in Farmington, ME. EVERGREEN BEHAVIORAL SERVICES NPI is 1124101464. The provider is registered as an organization entity type.

The provider's business location address is:

131 FRANKLIN HEALTH COMMONS
SUITE A MT BLUE HEALTH CENTER
FARMINGTON, ME
ZIP 04938
Phone: (207) 778-0035
Fax: (207) 778-6879

The provider's authorized official is Julie Welch .
The authorized official title is Office Manager and has the following contact phone number (207) 778-0035.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 5/3/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	221361	MAINE	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	227282	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MM6270	MEDICARE ID-TYPE UNSPECIFIED	MAINE

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: 11/21/2025

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