institution
Evergreen Therapy Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Stevensville, Maryland
NPI 1548045859

Evergreen Therapy Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Stevensville, MD and is specialized in Mental Health (Including Community Mental Health Center). Evergreen Therapy Llc practices in Stevensville, MD. The NPI Number for Evergreen Therapy Llc is 1548045859 and holds a License No. (Maryland).

The current practice location address for Evergreen Therapy Llc is 139 Log Canoe Cir, Stevensville, MD and can be reached out via phone at 443-808-1083.

Location: 139 Log Canoe Cir, Stevensville, MD, 21666-2127
institution
Provider Profile Details
NPI Number
1548045859
Provider Name
Evergreen Therapy Llc
Credential
Provider Entity Type
Organization
Address
139 Log Canoe Cir, Stevensville, MD, 21666-2127
Phone Number
443-808-1083
Fax Number
Provider Enumeration Date
08/28/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376140285 01 NPPES
institution
Provider Business Practice Location Address Details
Address
139 Log Canoe Cir
City
State
Zip
21666-2127
Phone Number
443-808-1083
Fax Number
person
Provider Business Mailing Address Details
Address
139 Log Canoe Cir
City
State
Zip
21666-2127
Phone Number
443-808-1083
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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