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EVERGREEN IN HOME MENTAL HEALTH NPI 1275066490


NPI Information

NPI: 1275066490
Provider Name: EVERGREEN IN HOME MENTAL HEALTH
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
12040 NE 128TH ST
MS 74
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-6300
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EVERGREEN IN HOME MENTAL HEALTH is a community behavioral health in Kirkland, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. EVERGREEN IN HOME MENTAL HEALTH NPI is 1275066490. The provider is registered as an organization entity type.

The provider's business location address is:

12040 NE 128TH ST
MS 74
KIRKLAND, WA
ZIP 98034-013
Phone: (425) 899-6300
Fax: (425) 899-6301

The provider's authorized official is Leah Jones .
The authorized official title is Program Manager and has the following contact phone number (425) 899-6308.

The enumeration date for this NPI number is 4/5/2017 and was last updated on 4/5/2017.


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
1251S00000XCommunity/Behavioral HealthLH 60152884WASHINGTONYes

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

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