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EVERGREEN THERAPY LLC
NPI 1548045859
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stevensville, MD

Active since August 28, 2023
139 LOG CANOE CIR, STEVENSVILLE, MD 21666(443) 808-1083 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Therapy Llc NPPES

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

EVERGREEN THERAPY LLC (NPI 1548045859), doing business as Evergreen Therapy, is a healthcare organization registered as a mental health (including community mental health center) in Stevensville, Maryland and active in the NPI registry since August 2023. The organization lists Amy Louise Gibbs Bennett, Clinical Mental Health Therapist, as its authorized official.

NPPES Registry Identity

NPI1548045859
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEVERGREEN THERAPY LLC
Location Address139 LOG CANOE CIRStevensville, MD 21666-2127
Mailing Address139 Log Canoe CirStevensville, MD 21666-2127 · (443) 808-1083
Phone(443) 808-1083
Organization SubpartNo
Authorized OfficialAmy Louise Gibbs BennettClinical Mental Health Therapist · (443) 808-1083
Enumeration DateAugust 28, 2023
NPPES CertifiedAugust 26, 2023
✔ NPI 1548045859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
139 LOG CANOE CIR, Stevensville, MD 21666
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Other Names 1

Doing Business AsEvergreen Therapy

Other Identifiers 1

Other1376140285Nppes

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

TARA ELIZABETH KUNG LI NEWCOMER LCSW-C
Social Worker (Clinical)
139 LOG CANOE CIR
STEVENSVILLE, MD 21666
Queen Anne's County (443) 282-8720
AMY LOUISE GIBBS BENNETT LCPC, NCC
Counselor (Mental Health)
139 LOG CANOE CIR
STEVENSVILLE, MD 21666
Queen Anne's County (443) 808-1083

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 Therapy LLC's NPI number?

The NPI number for Evergreen Therapy LLC is 1548045859. It was assigned to this organization in the NPPES registry on August 28, 2023. The provider is doing business as Evergreen Therapy.

Where is Evergreen Therapy LLC located?

Evergreen Therapy LLC is located at 139 Log Canoe Cir, Stevensville, MD 21666. The listed phone number is (443) 808-1083.

What is Evergreen Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Evergreen Therapy LLC was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.