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

Evergreen Presbyterian Ministries of Texas, Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1073976171

Evergreen Presbyterian Ministries of Texas, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texarkana, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
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

1319 Magnolia St
Texarkana, TX 75501-4440
Phone: (903) 794-0517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X (TX)

Record details

NPI number1073976171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Merlon Craft — Executive Vice President / Cfo · (318) 949-5515
Other names Evergreen Life Services
NPI enumeratedApril 5, 2016
Last updated in NPPESApril 5, 2016
Mailing address2101 Highway 80, Haughton, LA 71037-9488

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