Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergrace Therapy LLC

Organization Adult Mental Health Clinic/Center · NPI 1164292645

Evergrace Therapy LLC is an Adult Mental Health Clinic/Center in Evergreen Park, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10104 S Utica Ave
Evergreen Park, IL 60805-3527
Phone: (304) 280-6360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1164292645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Vazquez — Owner/Psychotherapist · (304) 280-6360
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address10104 S Utica Ave, Evergreen Park, IL 60805-3527