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

Evergreen Mental Health Services, Inc

Organization Mental Health Counselor · NPI 1083013999

Evergreen Mental Health Services, Inc is a Mental Health Counselor in Baltimore, Maryland. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
5
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

1645 Ridgely St Ste 100
Baltimore, MD 21230-2050
Phone: (240) 251-4702
Fax: (301) 251-4703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0808X

Record details

NPI number1083013999
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEvergreen Mental Health Services, Inc
Authorized official Barton Azwalinsky — Ceo · (301) 251-4702
NPI enumeratedAugust 15, 2014
Last updated in NPPESJuly 21, 2022
Mailing address9318 Gaither Rd Ste 220, Gaithersburg, MD 20877-1407

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