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EVERGREEN BEHAVIORAL MANAGEMENT, INC.
NPI 1497994099
Community/Behavioral Health in Wilmington, NC

Active since February 05, 2009
1911 S 17TH ST, SUITE 100, WILMINGTON, NC 28401(910) 791-9625(910) 792-9799 Get Directions Write a Review

NPPES record last updated: March 13, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evergreen Behavioral Management, Inc. NPPES

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

EVERGREEN BEHAVIORAL MANAGEMENT, INC. (NPI 1497994099) is a healthcare organization registered as a community/behavioral health in Wilmington, North Carolina and active in the NPI registry since February 2009. The organization lists Ginger G Gore, Owner, as its authorized official.

NPPES Registry Identity

NPI1497994099
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEVERGREEN BEHAVIORAL MANAGEMENT, INC.
Location Address1911 S 17TH ST, SUITE 100Wilmington, NC 28401-6662
Mailing AddressPo Box 425Whiteville, NC 28472-0425 · (910) 640-5512 · Fax (910) 641-0606
Phone(910) 791-9625
Fax(910) 792-9799
Organization SubpartNo
Authorized OfficialGinger G GoreOwner · (910) 640-5512
Enumeration DateFebruary 5, 2009
Last NPPES UpdateMarch 13, 2009
✔ NPI 1497994099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1911 S 17TH ST, Wilmington, NC 28401
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Other Identifiers 2

Medicaid8300538NC
Medicare PIN2326986NC

Other Providers at the Same Location NPPES 13

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

KATIE O GILBERT FNP
Behavior Analyst
1911 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 791-9625
WENDY YVONNE SHROPSHIRE-ATKINS PA-C
Physician Assistant
1911 S 17TH ST, SUITE 130A
WILMINGTON, NC 28401
New Hanover County (910) 790-7840
MRS. AMY LYNN LESANE LPC-A
Counselor (Professional)
1911 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 791-9625
LEIGH D STURMAN LCSW
Social Worker (Clinical)
1911 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 791-9625
ABRONS FAMILY PRACTICE AND URGENT CARE, P.A.
Family Medicine
1911 S 17TH ST, SUITE 130-A
WILMINGTON, NC 28401
New Hanover County (910) 790-7840
JACQUELINE M COWELL PA-C
Physician Assistant (Medical)
1911 S 17TH ST, SUITE 130A
WILMINGTON, NC 28401
New Hanover County (910) 790-7840
ATKINS FAMILY PRACTICE PA
Physician Assistant
1911 S 17TH ST, STE 130A
WILMINGTON, NC 28401
New Hanover County (910) 790-7840
CELESTE M CIANCIULLI LCSW
Social Worker (Clinical)
1911 S 17TH ST, WILMINGTON
WILMINGTON, NC 28401
New Hanover County (910) 791-9625

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 Management, Inc.'s NPI number?

The NPI number for Evergreen Behavioral Management, Inc. is 1497994099. It was assigned to this organization in the NPPES registry on February 5, 2009.

Where is Evergreen Behavioral Management, Inc. located?

Evergreen Behavioral Management, Inc. is located at 1911 S 17th St Suite 100, Wilmington, NC 28401. The listed phone number is (910) 791-9625.

What is Evergreen Behavioral Management, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Behavioral Management, Inc. was last updated on March 13, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.