Evergreen Therapeutic Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVERGREEN THERAPEUTIC SERVICES

Practice address

4770 Biscayne Blvd Ste 1440
Miami, FL 33137-3247

Phone

(305) 814-4863

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Denise Fournier, LMHC

Title

Owner

Phone

(305) 814-4863

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Therapy Doing business as

Electronic endpoints 1

Practitioners 1

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

• Denise Fournier Rodriguez, LMHC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1801287149
  NPD

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1700553385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 NE 32ND ST UNIT 4703",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375269",
            "telephone_number": "305-814-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 1440",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373247",
            "telephone_number": "305-814-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-814-4863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.evergreen-therapy.com",
            "affiliation": "N",
            "address_1": "4770 Biscayne Blvd Ste 1440",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331373247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evergreen Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arkeya Everett
• Shikera Everett
• Everfit Inc
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• Everglades Rehab Center Inc
• Evergreen Therapeutic Services, LLC
• Susan Evering
• Everlasting Achievements Health Group Corp
• Everlasting Medical Services
• Everlasting Therapy LLC

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.