EVERGREEN COUNSELING LLC NPI 1831681600

NPI Information

NPI: 1831681600
Provider Name: EVERGREEN COUNSELING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2100 MANCHESTER RD STE 602
WHEATON, IL
ZIP 60187
Phone: (213) 222-5079
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EVERGREEN COUNSELING LLC is a mental health counselor in Wheaton, IL. EVERGREEN COUNSELING LLC NPI is 1831681600. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2100 MANCHESTER RD STE 602
WHEATON, IL
ZIP 60187-587
Phone: (213) 222-5079

The provider's authorized official is Natasha Knoff .
The authorized official title is Practice Manager and has the following contact phone number (213) 222-5079.

The enumeration date for this NPI number is 6/6/2018 and was last updated on 5/2/2019.

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	106H00000X	Marriage & Family Therapist		166.001114	ILLINOIS	No
2	261QM0850X	Clinic/Center	Adult Mental Health			No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
4	101YM0800X	Counselor	Mental Health			Yes

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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