Evergreen Therapy LLC
NPI #1548045859 in Stevensville, Maryland
Provider Information
- NPI Number
- 1548045859
- Entity Type
- Organization
- Organization Name
- Evergreen Therapy LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 28, 2023
- Last Updated
- Aug 28, 2023
Practice Location
- Address
- 139 LOG CANOE CIR
- City
- Stevensville
- State
- Maryland
- ZIP Code
- 21666-2127
- Phone
- (443) 808-1083
Authorized Official
- Name
- AMY LOUISE GIBBS BENNETT, LGPC
- Title
- CLINICAL MENTAL HEALTH THERAPIST
- Phone
- (443) 808-1083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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