| Evergreen Behavioral Health Inc. | |
|
1206 Sw Main Blvd Ste 103 Lake City FL 32025-6603 | |
| (386) 487-9979 | |
| (386) 487-9979 |
| Full Name | Evergreen Behavioral Health Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1206 Sw Main Blvd Ste 103, Lake City, Florida |
| Authorized Official Name and Position | Joshua Messer (CEO) |
| Authorized Official Contact | 3864879979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Behavioral Health Inc. 1206 Sw Main Blvd Ste 103 Lake City FL 32025-6603 Ph: (386) 487-9979 | Evergreen Behavioral Health Inc. 1206 Sw Main Blvd Ste 103 Lake City FL 32025-6603 Ph: (386) 487-9979 |
| NPI Number | 1932978277 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932978277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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