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EVERGREEN MENTAL HEALTH AND WELLNESS LLC
NPI 1295330520
Registered Nurse - Psychiatric/Mental Health, Adult in Austin, TX

Active since December 03, 2020
13168 MILL STONE DR, AUSTIN, TX 78729(512) 591-6841 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Evergreen Mental Health And Wellness Llc NPPES

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

EVERGREEN MENTAL HEALTH AND WELLNESS LLC (NPI 1295330520) is a healthcare organization registered as a psychiatric/mental health, adult in Austin, Texas and active in the NPI registry since December 2020. The organization lists Rachel Spencer Ivanov, President, as its authorized official.

NPPES Registry Identity

NPI1295330520
Entity TypeOrganization
Primary Taxonomy163WP0809X
Legal Business NameEVERGREEN MENTAL HEALTH AND WELLNESS LLC
Location Address13168 MILL STONE DRAustin, TX 78729-2727
Mailing Address13168 Mill Stone DrAustin, TX 78729-2727 · (512) 591-6841
Phone(512) 591-6841
Organization SubpartNo
Authorized OfficialRachel Spencer IvanovPresident · (512) 591-6841
Enumeration DateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1295330520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
13168 MILL STONE DR, Austin, TX 78729
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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 SINGLE SPECIALTY GROUP

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 Mental Health And Wellness LLC's NPI number?

The NPI number for Evergreen Mental Health And Wellness LLC is 1295330520. It was assigned to this organization in the NPPES registry on December 3, 2020.

Where is Evergreen Mental Health And Wellness LLC located?

Evergreen Mental Health And Wellness LLC is located at 13168 Mill Stone Dr, Austin, TX 78729. The listed phone number is (512) 591-6841.

What is Evergreen Mental Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

When was this NPI record last updated?

The NPPES record for Evergreen Mental Health And Wellness LLC was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.