| Evergreen Therapeutic Services, Llc | |
|
600 Ne 36th St # 407 Miami FL 33137-3929 | |
| (954) 309-0834 | |
| Not Available |
| Full Name | Evergreen Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 600 Ne 36th St, Miami, Florida |
| Authorized Official Name and Position | Denise Fournier Rodriguez (OWNER) |
| Authorized Official Contact | 9543090834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Therapeutic Services, Llc 600 Ne 36th St # 407 Miami FL 33137-3929 Ph: (954) 309-0834 | Evergreen Therapeutic Services, Llc 600 Ne 36th St # 407 Miami FL 33137-3929 Ph: (954) 309-0834 |
| NPI Number | 1134510027 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134510027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH-12929 (Florida) | Primary |
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