Evergreen Therapy LLC
NPI #1629957626 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1629957626
- Entity Type
- Organization
- Organization Name
- Evergreen Therapy LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Sep 2, 2025
- Last Updated
- Sep 2, 2025
Practice Location
- Address
- 105 N 40TH AVE
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39401-6606
- Phone
- (769) 390-7929
Authorized Official
- Name
- VICTORIA LAUREN ALEXANDER
- Title
- COUNSELOR/OWNER
- Phone
- (601) 408-5946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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