EVERGREEN BEHAVIORAL HEALTH INC. NPI 1932978277

NPI Information

NPI: 1932978277
Provider Name: EVERGREEN BEHAVIORAL HEALTH INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1206 SW MAIN BLVD STE 103
LAKE CITY, FL
ZIP 32025
Phone: (386) 487-9979
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EVERGREEN BEHAVIORAL HEALTH INC. is an addiction (substance use disorder) counselor in Lake City, FL. EVERGREEN BEHAVIORAL HEALTH INC. NPI is 1932978277. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1206 SW MAIN BLVD STE 103
LAKE CITY, FL
ZIP 32025-603
Phone: (386) 487-9979
Fax: (386) 487-9979

The provider's authorized official is Joshua Messer .
The authorized official title is Ceo and has the following contact phone number (386) 487-9979.

The enumeration date for this NPI number is 12/28/2023 and was last updated on 12/28/2023.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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: 5/5/2024

NPI Synchronization or Removal

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