EVERGREEN HOLISTIC HEALING LLC NPI 1255145819

NPI Information

  • NPI: 1255145819
  • Provider Name: EVERGREEN HOLISTIC HEALING LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 415 N FRONT ST
    SPOONER, WI
    ZIP 54801
  • Phone: (715) 544-8964

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NPI Details

EVERGREEN HOLISTIC HEALING LLC is a multi-specialty clinic center in Spooner, WI. EVERGREEN HOLISTIC HEALING LLC NPI is 1255145819. The provider is registered as an organization entity type.

The provider's business location address is:

415 N FRONT ST
SPOONER, WI
ZIP 54801-403
Phone: (715) 544-8964

The provider's authorized official is Parker Hewes .
The authorized official title is Business Manager and has the following contact phone number (715) 544-8964.

The enumeration date for this NPI number is 2/4/2025 and was last updated on 2/4/2025.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes
2261QP3300XClinic/CenterPainNo

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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