Evergreen Therapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EVERGREEN THERAPY LLC

Practice address

105 N 40TH Ave
Hattiesburg, MS 39401-6606

Phone

(769) 390-7929

NPI assigned

Sep 2, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria Lauren AlexanderNPI 1518672229

Title

Counselor/Owner

Phone

(601) 408-5946

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Lauren Alexander, PLPC

  • Counselor
  • Hattiesburg, MS
  • NPI 1518672229
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1629957626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FOX TER",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021813",
            "telephone_number": "601-408-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 40TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016606",
            "telephone_number": "769-390-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "601-408-5946"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Conner Estess, MD
• Anny S Evans, NP
• Crystal Dominique Evans
• Taylor Evans, DO
• Torrye Raymond Evans II
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• Carol Expose, RN
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• Eye Examiners, Inc.

• Adult Mental Health Clinic/Center in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Adult Mental Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.