EVERGREEN RESIDENTIAL SERVICES LLC
NPI 1558287318
Psychologist - Intellectual and Developmental Disabilities in Alexandria, VA
About Evergreen Residential Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN RESIDENTIAL SERVICES LLC (NPI 1558287318) is a healthcare organization registered as an intellectual and developmental disabilities in Alexandria, Virginia and active in the NPI registry since June 2026. The organization lists Mary Abosede Dina, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Residential Services LLC's NPI number?
The NPI number for Evergreen Residential Services LLC is 1558287318. It was assigned to this organization in the NPPES registry on June 26, 2026.
Where is Evergreen Residential Services LLC located?
Evergreen Residential Services LLC is located at 6405 Dorset Dr, Alexandria, VA 22310. The listed phone number is (240) 601-9977.
What is Evergreen Residential Services LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.
When was this NPI record last updated?
The NPPES record for Evergreen Residential Services LLC was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Evergreen Residential Services Llc · NPI 1558287318
Intellectual and Developmental Disabilities organization in Alexandria, Virginia. Organization record, active in the CMS NPPES registry since June 26, 2026.
## Identity
- **NPI:** 1558287318 (Entity type: Organization)
- **Enumerated:** June 26, 2026
- **Primary specialty:** Psychologist - Intellectual and Developmental Disabilities · taxonomy 103TM1800X
- **Organization subpart:** No
- **Authorized official:** Mary Dina, OWNER
## Practice location
- **Address:** 6405 DORSET DR, Alexandria, VA 22310-3015
- **Phone:** (240) 601-9977
## Record status
- **NPPES last updated:** June 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1558287318) · Data from the CMS NPPES public registry.