<Unavail>

LBN: Evergreen Behavioral Health Pc
<Unavail> is an health care organization with primary practice located at 2621 Ne 134Th St Ste 340 , Vancouver WA 98686-3036. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Evergreen Behavioral Health Pc can be contacted via phone (360) 450-0140, or through Fancher, Jill B via phone (360) 450-0140.

Contact Information

Primary practice address
2621 Ne 134Th St Ste 340 Vancouver WA 98686-3036
Phone: (360) 450-0140
Fax: (877) 343-0535
Website:
Map and Directions
Authorized official contact:
Name: Fancher, Jill B PH.D.
Phone: (360) 450-0140

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1205146776
LBN Legal business name Evergreen Behavioral Health Pc
DBA Doing business as <Unavail>
Authorized official Fancher, Jill B PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2010
Last updated Oct 21st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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