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EVERGREEN COUNSELING & LIFE SKILLS LLC NPI 1881942498


NPI Information

NPI: 1881942498
Provider Name: EVERGREEN COUNSELING & LIFE SKILLS, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
14 COTTAGE ST
MEDFORD, OR
ZIP 97504
Phone: (541) 890-2572
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EVERGREEN COUNSELING & LIFE SKILLS, LLC is a community behavioral health in Medford, OR. 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 COUNSELING & LIFE SKILLS, LLC NPI is 1881942498. The provider is registered as an organization entity type.

The provider's business location address is:

14 COTTAGE ST
MEDFORD, OR
ZIP 97504-332
Phone: (541) 890-2572
Fax: (541) 779-3260

The provider's authorized official is Elena C Meyer .
The authorized official title is Mental Health Therapist and has the following contact phone number (541) 890-2572.

The enumeration date for this NPI number is 8/29/2012 and was last updated on 8/29/2012.


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 HealthYes

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

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