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

Evergreen Mental Health LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1740715622

Evergreen Mental Health LLC is a Psychiatric/Mental Health Nurse Practitioner in Liberty Lake, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23403 E Mission Ave Ste 200I
Liberty Lake, WA 99019-7575
Phone: (509) 992-4224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP60654992 (WA)

Record details

NPI number1740715622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Regina Davis — Owner · (509) 992-4224
NPI enumeratedApril 27, 2017
Last updated in NPPESMarch 19, 2019
Mailing addressPo Box 333, Liberty Lake, WA 99019-0333

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