Evergreen Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EVERGREEN COUNSELING, LLC

Practice address

126 Enterprise Path
#102
Hiram, GA 30141-2656

Phone

(770) 634-8443

NPI assigned

Sep 30, 2011

Last updated

Sep 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Celeste Reichard

Title

LPC

Phone

(770) 634-8443

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1811271521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 ENTERPRISE PATH",
            "address_2": "#102",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 ENTERPRISE PATH",
            "address_2": "#102",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412656",
            "telephone_number": "770-634-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "REICHARD",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "770-634-8443"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Hiram, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.