EVERGREEN COUNSELING SVS. NPI 1700087509

NPI Information

NPI: 1700087509
Provider Name: EVERGREEN COUNSELING SVS.,
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
82 PALOMINO LN
SUITE 702
BEDFORD, NH
ZIP 03110
Phone: (603) 626-5400
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EVERGREEN COUNSELING SVS., is a mental health counselor in Bedford, NH. EVERGREEN COUNSELING SVS., NPI is 1700087509. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

82 PALOMINO LN
SUITE 702
BEDFORD, NH
ZIP 03110-448
Phone: (603) 626-5400

The provider's authorized official is Donna Guldenstern .
The authorized official title is President and has the following contact phone number (603) 626-5400.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.

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	101YM0800X	Counselor	Mental Health	11	NEW HAMPSHIRE	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	30007116	MEDICAID	NEW HAMPSHIRE

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: 4/28/2024

NPI Synchronization or Removal

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