Evergreen Counseling Sa, Pllc

LBN: Evergreen Counseling Sa, Pllc
Evergreen Counseling Sa, Pllc is an health care organization with primary practice located at 11467 Huebner Rd Ste 251 , San Antonio TX 78230-1073. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Evergreen Counseling Sa, Pllc can be contacted via phone (503) 389-5504, or through Kipp, Amy A via phone (503) 389-5504.

Contact Information

Primary practice address
11467 Huebner Rd Ste 251 San Antonio TX 78230-1073
Phone: (503) 389-5504
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kipp, Amy A LFMT-S
Phone: (503) 389-5504

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1063076859
LBN Legal business name Evergreen Counseling Sa, Pllc
DBA Doing business as
Authorized official Kipp, Amy A LFMT-S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2019
Last updated Apr 26th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063076859 NPPES
Other 12684503 CAQH

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