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EVERGREEN THERAPEUTIC, PLLC
NPI 1346840873
Counselor - Mental Health in Angier, NC

Active since October 26, 2020
7427 OLD STAGE RD N, ANGIER, NC 27501(919) 561-9663 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Therapeutic, Pllc NPPES

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

EVERGREEN THERAPEUTIC, PLLC (NPI 1346840873) is a healthcare organization registered as a mental health in Angier, North Carolina and active in the NPI registry since October 2020. The organization lists Anna Bengtson Broadwell, Therapist, as its authorized official.

NPPES Registry Identity

NPI1346840873
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEVERGREEN THERAPEUTIC, PLLC
Location Address7427 OLD STAGE RD NAngier, NC 27501-7401
Mailing AddressPo Box 37501Raleigh, NC 27627-7501 · (919) 249-8675
Phone(919) 561-9663
Organization SubpartNo
Authorized OfficialAnna Bengtson BroadwellTherapist · (919) 561-9663
Enumeration DateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1346840873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7427 OLD STAGE RD N, Angier, NC 27501
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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

Other Providers at the Same Location NPPES

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

ANNA BENGTSON BROADWELL LCMHC
Counselor (Mental Health)
7427 OLD STAGE RD N
ANGIER, NC 27501
Harnett County (919) 561-9663

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 Therapeutic, PLLC's NPI number?

The NPI number for Evergreen Therapeutic, PLLC is 1346840873. It was assigned to this organization in the NPPES registry on October 26, 2020.

Where is Evergreen Therapeutic, PLLC located?

Evergreen Therapeutic, PLLC is located at 7427 Old Stage Rd N, Angier, NC 27501. The listed phone number is (919) 561-9663.

What is Evergreen Therapeutic, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Evergreen Therapeutic, PLLC was last updated on October 26, 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.