EVERGREEN BEHAVIORAL HEALTH SERVICES,LLC
NPI 1073879177
Counselor - Professional in Rixeyville, VA

Active since April 03, 2012
10391 GREYSON LN, RIXEYVILLE, VA 22737(540) 937-4923(540) 937-7680 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Behavioral Health Services,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN BEHAVIORAL HEALTH SERVICES,LLC (NPI 1073879177) is a healthcare organization registered as a professional in Rixeyville, Virginia and active in the NPI registry since April 2012. The organization lists Bruce Charles Wyman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073879177
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameEVERGREEN BEHAVIORAL HEALTH SERVICES,LLC
Location Address10391 GREYSON LNRixeyville, VA 22737-1730
Mailing AddressPo Box 373Rixeyville, VA 22737-0373 · (540) 937-4923 · Fax (540) 937-7680
Fax(540) 937-7680
Organization SubpartNo
Authorized OfficialBruce Charles WymanCeo · (540) 937-4923
Enumeration DateApril 3, 2012
Last NPPES UpdateMay 7, 2014
NPI 1073879177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701003919
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0701003919 (VA)
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 0701003919 (VA)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 0701003919 (VA)
10391 GREYSON LN, Rixeyville, VA 22737

Other Identifiers 1

Other01619872VA · Anthem

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
10391 GREYSON LN
RIXEYVILLE, VA 22737
Counselor (Professional)
10391 GREYSON LN
RIXEYVILLE, VA 22737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Behavioral Health Services,llc's NPI number?

The NPI number for Evergreen Behavioral Health Services,llc is 1073879177. It was assigned to this organization in the NPPES registry on April 3, 2012.

Where is Evergreen Behavioral Health Services,llc located?

Evergreen Behavioral Health Services,llc is located at 10391 Greyson Ln, Rixeyville, VA 22737. The listed phone number is (540) 937-4923.

What is Evergreen Behavioral Health Services,llc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Evergreen Behavioral Health Services,llc was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.