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EVERGREEN THERAPY LLC
NPI 1629957626
Clinic/Center - Adult Mental Health in Hattiesburg, MS

Active since September 02, 2025
105 N 40TH AVE, HATTIESBURG, MS 39401(769) 390-7929 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Therapy Llc NPPES

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

EVERGREEN THERAPY LLC (NPI 1629957626) is a healthcare organization registered as an adult mental health in Hattiesburg, Mississippi and active in the NPI registry since September 2025. The organization lists Victoria Lauren Alexander, Counselor/owner, as its authorized official.

NPPES Registry Identity

NPI1629957626
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameEVERGREEN THERAPY LLC
Location Address105 N 40TH AVEHattiesburg, MS 39401-6606
Mailing Address103 Fox TerHattiesburg, MS 39402-1813 · (601) 408-5946
Phone(769) 390-7929
Organization SubpartNo
Authorized OfficialVictoria Lauren AlexanderCounselor/owner · (601) 408-5946
Enumeration DateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
✔ NPI 1629957626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
105 N 40TH AVE, Hattiesburg, MS 39401
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Other Providers at the Same Location NPPES 7

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

SOUTHERN HEARING LLC
Hearing Instrument Specialist
105 N 40TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 264-2692
SOUTHERN HEARING ASSOCIATES
Hearing Instrument Specialist
105 N 40TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 264-2692
JOURNEYS COUNSELING CENTER LLC
Counselor (Professional)
105 N 40TH AVE
HATTIESBURG, MS 39401
Forrest County (769) 390-7929
SOUTHERN HEARING ASSOCIATES
Hearing Instrument Specialist
105 N 40TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 264-2692
VICTORIA LAUREN ALEXANDER PLPC
Counselor
105 N 40TH AVE
HATTIESBURG, MS 39401
Forrest County (769) 390-7929
MR. RONALD DAVID HANCOCK H.A.S.
Hearing Instrument Specialist
105 N 40TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 264-2692
ALFRED PATRICK HALL HIS
Hearing Instrument Specialist
105 N 40TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 264-2692

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 1629957626. It was assigned to this organization in the NPPES registry on September 2, 2025.

Where is Evergreen Therapy LLC located?

Evergreen Therapy LLC is located at 105 N 40th Ave, Hattiesburg, MS 39401. The listed phone number is (769) 390-7929.

What is Evergreen Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Evergreen Therapy LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.