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Evergreen Therapy Center Llc
Adult Mental Health Clinic/Center in Coralville, Iowa
NPI 1043828825

Evergreen Therapy Center Llc is an Adult Mental Health Clinic/Center based in North Liberty, IA and is specialized in Adult Mental Health. Evergreen Therapy Center Llc practices in Coralville, IA. The NPI Number for Evergreen Therapy Center Llc is 1043828825 and holds a License No. (Iowa).

The current practice location address for Evergreen Therapy Center Llc is 2140 Norcor Ave Ste 103, Coralville, IA and can be reached out via phone at 319-853-8762. You can also correspond with Evergreen Therapy Center Llc through the mailing address at 144 LOCKMOOR CIR, NORTH LIBERTY, IA - 52317-8042 (mailing address contact number: 319-853-8762).

Location: 2140 Norcor Ave Ste 103, Coralville, IA, 52317-8042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043828825
Provider Name
Evergreen Therapy Center Llc
Credential
Provider Entity Type
Organization
Address
2140 Norcor Ave Ste 103, Coralville, IA, 52317-8042
Phone Number
319-853-8762
Fax Number
Provider Enumeration Date
07/17/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2140 Norcor Ave Ste 103
City
Coralville
State
Iowa
Zip
52241-9736
Phone Number
319-853-8762
Fax Number
person
Provider Business Mailing Address Details
Address
144 Lockmoor Cir
City
North Liberty
State
Iowa
Zip
52317-8042
Phone Number
319-853-8762
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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