EVERGREEN THERAPY CENTER LLC
NPI 1043828825
Clinic/Center - Mental Health (Including Community Mental Health Center) in North Liberty, IA
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About EVERGREEN THERAPY CENTER LLC
This page provides the complete NPI Profile along with additional information for Evergreen Therapy Center Llc, a provider established in North Liberty, Iowa operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1043828825 assigned on July 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jason Matthew Drwal Ph.d. (President)
- NPI
- 1043828825 Verify this NPI
- Provider Name
- EVERGREEN THERAPY CENTER LLC
- Entity Type
- Organization
- Location Address
- 595 ASHLEY CT STE 5 NORTH LIBERTY, IA 52317
- Location Phone
- (319) 853-8762
- Location Fax
- (319) 249-6875
- Mailing Address
- 595 ASHLEY CT STE 5 NORTH LIBERTY, IA 52317
- Mailing Phone
- (319) 853-8762
- Mailing Fax
- (319) 249-6875
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2020
- Last Update Date
- 11-22-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center |
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043828825, enumerated as an "organization" on July 17, 2020.
The provider is located at 595 ASHLEY CT STE 5 NORTH LIBERTY, IA 52317 and the phone number is (319) 853-8762.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
