Evergreen Behavioral Services, Llc in Mexico - Psychologist
Evergreen Behavioral Services, Llc - NPI 1881733491
Evergreen Behavioral Services, Llc is a Psychologist in Mexico, Missouri. Evergreen Behavioral Services, Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Evergreen Behavioral Services, Llc is 1881733491. The last update date is 2007-12-17.
Evergreen Behavioral Services, Llc's current location address is Po Box 871, Mexico, Missouri. You can contact this provider via phone number 5735820292 and fax number 5735816036. The mailing address for Evergreen Behavioral Services, Llc is Po Box 871, Mexico, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Behavioral Services, Llc |
|---|---|
| Address | Po Box 871, Mexico, Missouri |
| Phone Number | 5735820292 |
| Fax Number | 5735816036 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Finder G Patrick |
| Credentials | M.S. |
| Telephone Number | 5735820292 |
NPI Number Detail
| NPI Number | 1881733491 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | Po Box 871 |
|---|---|
| City | Mexico |
| State | Missouri (MO) |
| Post Code | 652650871 |
| Phone Number | 5735820292 |
| Fax Number | 5735816036 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PYO1319 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Evergreen Behavioral Services, Llc by the Centers for Medicare & Medicaid Services?
The Evergreen Behavioral Services, Llc has been issued the NPI (National Provider Identifier) 1881733491. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Evergreen Behavioral Services, Llc is geographically located?
The Evergreen Behavioral Services, Llc is physically situated at the following location: Po Box 871, Mexico, MO, 652650871.
What is Evergreen Behavioral Services, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Evergreen Behavioral Services, Llc is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date was the 1881733491 assigned to Evergreen Behavioral Services, Llc?
The Evergreen Behavioral Services, Llc was issued its 1881733491 on 2007-02-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Evergreen Behavioral Services, Llc most recently updated or revised?
The information pertaining to Evergreen Behavioral Services, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-17.