| Evergreen Integrative Mental Health Care | |
|
111 Shoshone St N Ste 202 Twin Falls ID 83301-6119 | |
| (208) 490-2082 | |
| (208) 718-1106 |
| Full Name | Evergreen Integrative Mental Health Care |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 111 Shoshone St N Ste 202, Twin Falls, Idaho |
| Authorized Official Name and Position | Sheila Marie Green (OWNER) |
| Authorized Official Contact | 2084902082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Integrative Mental Health Care 595 Mt View Dr Twin Falls ID 83301-4319 Ph: (208) 490-2082 | Evergreen Integrative Mental Health Care 111 Shoshone St N Ste 202 Twin Falls ID 83301-6119 Ph: (208) 490-2082 |
| NPI Number | 1760247639 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760247639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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