Evergreen Group Home, LLC
Evergreen Group Home, LLC is a Mental Health Counselor in Urbana, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
27 Hopper TrlUrbana, MO 65767-9234
Phone: (417) 722-4416
Fax: (417) 722-4417
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 91438201670000 (MO) |
|---|
Record details
| NPI number | 1871638999 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Boggs — President · (417) 722-4416 |
| Other names | Evergreen Group Home |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 27 Hopper Trl, Urbana, MO 65767-9234 |