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Evergreen Coaching & Counseling, Inc.
Adolescent and Children Mental Health Clinic/Center in Champaign, Illinois
NPI 1265114219

Evergreen Coaching & Counseling, Inc. is an Adolescent and Children Mental Health Clinic/Center based in Champaign, IL and is specialized in Adolescent and Children Mental Health. Evergreen Coaching & Counseling, Inc. practices in Champaign, IL. The NPI Number for Evergreen Coaching & Counseling, Inc. is 1265114219 and holds a License No. (Illinois).

The current practice location address for Evergreen Coaching & Counseling, Inc. is 411 E Park St Ste 106, Champaign, IL and can be reached out via phone at 217-714-7042 and via fax at 866-216-6514.

Location: 411 E Park St Ste 106, Champaign, IL, 61820-3862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265114219
Provider Name
Evergreen Coaching & Counseling, Inc.
Credential
Provider Entity Type
Organization
Address
411 E Park St Ste 106, Champaign, IL, 61820-3862
Phone Number
217-714-7042
Fax Number
866-216-6514
Provider Enumeration Date
08/01/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
411 E Park St Ste 106
City
Champaign
State
Illinois
Zip
61820-3862
Phone Number
217-714-7042
Fax Number
866-216-6514
person
Provider Business Mailing Address Details
Address
411 E Park St Ste 106
City
Champaign
State
Illinois
Zip
61820-3862
Phone Number
217-714-7042
Fax Number
866-216-6514
person
Provider's Taxonomy Details 1
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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