Evergreen Counseling Center
Organization Active NPI Mental Health Counselor · Bedias, TX
NPI 1073594776 · NPPES record last updated Oct 25, 2011
Key facts
- NPI
- 1073594776
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 10083 (TX)
- Legal business name
- EVERGREEN COUNSELING CENTER
- Practice address
- 23777 County Road 125
Bedias, TX 77831-3373 - Phone
- (832) 877-0295
- Fax
- (832) 295-5752
- NPI assigned
- Nov 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Shirley Faye Sammons-Cox, LPC, LMFT, LCDC
- Title
- Therapist
- Phone
- (832) 877-0295
Practitioners 1
-
Shirley Faye Sammons Cox, LPC, LMFT, LCDC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 1393 | TX | |
| Mental Health Counselor |
101YM0800X | 10083 | TX | Yes |
| Marriage & Family Therapist |
106H00000X | 02054 | TX |
Addresses
Primary practice location
23777 County Road 125
Bedias, TX 77831-3373
Mailing address
23777 County Road 125
Bedias, TX 77831-3373
Phone (832) 877-0295
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027038102 | Medicaid | TX |
Other providers in Bedias, TX
- Bis Community Clinic LLC
- Bis Community Clinic LLC
- Janice Denise Ferguson
- Heart of Texas Home Medical Services
- Maria Adelina Lawrence
- Now and Beyond Counseling Services, PLLC
- Pineywoods Healthcare PLLC
All providers in Bedias, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.