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EVERGREEN HEALTH SERVICES, LLC
NPI 1578704466
Clinic/Center in Fayetteville, NC

Active since March 23, 2009
4276 LEGEND AVE, FAYETTEVILLE, NC 28303(910) 867-0035(910) 867-0545 Get Directions Write a Review

NPPES record last updated: March 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Health Services, Llc NPPES

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

EVERGREEN HEALTH SERVICES, LLC (NPI 1578704466) is a healthcare organization registered as a clinic/center in Fayetteville, North Carolina and active in the NPI registry since March 2009. The organization lists Brenton Blake Byrd, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578704466
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERGREEN HEALTH SERVICES, LLC
Location Address4276 LEGEND AVEFayetteville, NC 28303-1965
Mailing AddressPo Box 425, 1409 Pinckney StreetWhiteville, NC 28472-0425 · (910) 640-5551 · Fax (910) 641-0606
Phone(910) 867-0035
Fax(910) 867-0545
Organization SubpartNo
Authorized OfficialBrenton Blake ByrdCeo · (910) 640-5512
Enumeration DateMarch 23, 2009
✔ NPI 1578704466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4276 LEGEND AVE, Fayetteville, NC 28303
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Other Providers at the Same Location NPPES 4

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

ASHLEY POOLE LPCA
Counselor (Professional)
4276 LEGEND AVE
FAYETTEVILLE, NC 28303
Cumberland County (910) 624-8534
NEIL BLUE LPC
Counselor (Mental Health)
4276 LEGEND AVE, SUITE C
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-0035
SHEKEEMA SCHULTZ LCAS-A
Counselor (Addiction (Substance Use Disorder))
4276 LEGEND AVE
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-0035
MR. JAMES ANTHONY VALES SR. LCSW-P
Social Worker (Clinical)
4276 LEGEND AVE
FAYETTEVILLE, NC 28303
Cumberland County (910) 485-6843

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 Health Services, LLC's NPI number?

The NPI number for Evergreen Health Services, LLC is 1578704466. It was assigned to this organization in the NPPES registry on March 23, 2009.

Where is Evergreen Health Services, LLC located?

Evergreen Health Services, LLC is located at 4276 Legend Ave, Fayetteville, NC 28303. The listed phone number is (910) 867-0035.

What is Evergreen Health Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Health Services, LLC was last updated on March 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.