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EVERGREEN THERAPEUTIC TREATMENT CENTERS LLC
NPI 1720665987
Clinic/Center - Adolescent and Children Mental Health in Parkersburg, WV

Active since March 25, 2021
110 PARK CENTER DR, PARKERSBURG, WV 26101(419) 733-3889 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evergreen Therapeutic Treatment Centers Llc NPPES

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

EVERGREEN THERAPEUTIC TREATMENT CENTERS LLC (NPI 1720665987) is a healthcare organization registered as an adolescent and children mental health in Parkersburg, West Virginia and active in the NPI registry since March 2021. The organization lists Jamie Tuttle, Chief Executive Of Operations, as its authorized official.

NPPES Registry Identity

NPI1720665987
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameEVERGREEN THERAPEUTIC TREATMENT CENTERS LLC
Location Address110 PARK CENTER DRParkersburg, WV 26101-1929
Mailing Address322 46th StVienna, WV 26105-1822 · (419) 733-3889
Phone(419) 733-3889
Organization SubpartNo
Authorized OfficialJamie TuttleChief Executive Of Operations · (419) 733-3889
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1720665987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

110 PARK CENTER DR, Parkersburg, WV 26101
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Other Providers at the Same Location NPPES 20

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

DUSTIN DENNIS
Behavior Analyst
110 PARK CENTER DR
PARKERSBURG, WV 26101
Wood County (681) 588-0550
KAITLYN BROWN
Behavior Analyst
110 PARK CENTER DR
PARKERSBURG, WV 26101
Wood County (681) 588-0550
EVAN JOBES
Behavior Analyst
110 PARK CENTER DR
PARKERSBURG, WV 26101
Wood County (681) 588-0550
JALEN HEFNER
Behavior Analyst
110 PARK CENTER DR
PARKERSBURG, WV 26101
Wood County (681) 588-0550
DAVID ARBUCKLE
Behavior Analyst
110 PARK CENTER DR
PARKERSBURG, WV 26101
Wood County (681) 588-0550
DEBORAH LYNN CAIN
Behavior Analyst
110 PARK CENTER DR
PARKERSBURG, WV 26101
Wood County (681) 588-0550
SCOTT CARPENTER
Behavior Analyst
110 PARK CENTER DR
PARKERSBURG, WV 26101
Wood County (681) 588-0550
ALEXANDRIA DOSS
Behavior Analyst
110 PARK CENTER DR
PARKERSBURG, WV 26101
Wood County (681) 588-0550

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 Therapeutic Treatment Centers LLC's NPI number?

The NPI number for Evergreen Therapeutic Treatment Centers LLC is 1720665987. It was assigned to this organization in the NPPES registry on March 25, 2021.

Where is Evergreen Therapeutic Treatment Centers LLC located?

Evergreen Therapeutic Treatment Centers LLC is located at 110 Park Center Dr, Parkersburg, WV 26101. The listed phone number is (419) 733-3889.

What is Evergreen Therapeutic Treatment Centers LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Evergreen Therapeutic Treatment Centers LLC was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.