EVERGREEN BEHAVIORAL MANAGEMENT, INC.
NPI 1679712277
Community/Behavioral Health in Fayetteville, NC

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

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

Active since February 05, 2009

4276 LEGEND AVE STE C, FAYETTEVILLE, NC 28303(910) 867-0035(910) 867-0545 Get Directions Write a Review

NPPES record last updated: March 13, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Evergreen Behavioral Management, Inc. NPPES

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

EVERGREEN BEHAVIORAL MANAGEMENT, INC. (NPI 1679712277) is a healthcare organization registered as a community/behavioral health in Fayetteville, 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

NPI1679712277

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameEVERGREEN BEHAVIORAL MANAGEMENT, INC.

Location Address4276 LEGEND AVE STE CFayetteville, NC 28303-3497

Mailing AddressPo Box 425Whiteville, NC 28472-0425 · (910) 640-5512 · Fax (910) 641-0606

Phone(910) 867-0035

Fax(910) 867-0545

Organization SubpartNo

Authorized OfficialGinger G GoreOwner · (910) 640-5512

Enumeration DateFebruary 5, 2009

Last NPPES UpdateMarch 13, 2009

✔ NPI 1679712277 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.

4276 LEGEND AVE STE C, Fayetteville, NC 28303

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Other Identifiers 1

Medicaid8300806NC

Other Providers at the Same Location NPPES

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

MS. KIMBERLY ELLEN HUTCHINS LPCA

Counselor

4276 LEGEND AVE STE C
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 Behavioral Management, Inc.'s NPI number?

The NPI number for Evergreen Behavioral Management, Inc. is 1679712277. 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 4276 Legend Ave Ste C, Fayetteville, NC 28303. The listed phone number is (910) 867-0035.

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 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.