EVERGREEN EDUCATIONAL THERAPY LLC NPI 1972335784

NPI Information

  • NPI: 1972335784
  • Provider Name: EVERGREEN EDUCATIONAL THERAPY LLC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 709 E COLORADO BLVD STE 250
    PASADENA, CA
    ZIP 91101
  • Phone: (626) 214-8972

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NPI Details

EVERGREEN EDUCATIONAL THERAPY LLC is a counselor in Pasadena, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. EVERGREEN EDUCATIONAL THERAPY LLC NPI is 1972335784. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

709 E COLORADO BLVD STE 250
PASADENA, CA
ZIP 91101-159
Phone: (626) 214-8972
Fax: (626) 517-5083

The provider's authorized official is Amanda Lepore .
The authorized official title is Executive Director and has the following contact phone number (626) 977-4211.

The enumeration date for this NPI number is 8/19/2024 and was last updated on 8/19/2024.

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
1101Y00000XCounselorYes

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: 11/21/2025

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