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

Organization Adult Mental Health Clinic/Center · NPI 1265114219

Evergreen Coaching and Counseling, Inc is an Adult Mental Health Clinic/Center in Champaign, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

411 E Park St Ste 106
Champaign, IL 61820-3862
Phone: (217) 714-7042
Fax: (866) 216-6514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1265114219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brittney Homann — Ceo · (217) 714-7420
NPI enumeratedAugust 1, 2023
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address411 E Park St Ste 106, Champaign, IL 61820-3862

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