Evergreen Therapy, Pllc

LBN: Evergreen Therapy, Pllc
Evergreen Therapy, Pllc is an health care organization with primary practice located at 7514 Highway 107 , Sherwood AR 72120-7212. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Evergreen Therapy, Pllc can be contacted via phone (501) 392-6681, or through Musick, Jobeth via phone (501) 425-4039.

Contact Information

Primary practice address
7514 Highway 107 Sherwood AR 72120-7212
Phone: (501) 392-6681
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Musick, Jobeth Licensed Clinical Social Worker (LCSW)
Phone: (501) 425-4039

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1891494779
LBN Legal business name Evergreen Therapy, Pllc
DBA Doing business as
Authorized official Musick, Jobeth Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2023
Last updated Feb 28th, 2023 - about 3 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 1891494779 NPPES
Arkansas MEDICAID 1659722528
Arkansas MEDICAID 1306194485

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