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EVERGREEN MENTAL HEALTH LLC
NPI 1740715622
Nurse Practitioner - Psychiatric/Mental Health in Liberty Lake, WA

Active since April 27, 2017
23403 E MISSION AVE STE 200I, LIBERTY LAKE, WA 99019(509) 992-4224 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2019, Apr 27, 2017 (2 updates tracked since 2017).

About Evergreen Mental Health Llc NPPES

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

EVERGREEN MENTAL HEALTH LLC (NPI 1740715622) is a healthcare organization registered as a psychiatric/mental health in Liberty Lake, Washington and active in the NPI registry since April 2017. The organization lists Regina Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1740715622
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEVERGREEN MENTAL HEALTH LLC
Location Address23403 E MISSION AVE STE 200ILiberty Lake, WA 99019-7575
Mailing AddressPo Box 333Liberty Lake, WA 99019-0333
Phone(509) 992-4224
Organization SubpartNo
Authorized OfficialRegina DavisOwner · (509) 992-4224
Enumeration DateApril 27, 2017
Last NPPES UpdateMarch 19, 20192 updates tracked since enumeration
✔ NPI 1740715622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP60654992
23403 E MISSION AVE STE 200I, Liberty Lake, WA 99019
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. CATHERINE LOUISE KUHN BROWN PHD
Psychologist (Clinical)
23403 E MISSION AVE STE 200I
LIBERTY LAKE, WA 99019
Spokane County (509) 255-3883
REGINA MARIE DAVIS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
23403 E MISSION AVE STE 200I
LIBERTY LAKE, WA 99019
Spokane County (509) 992-4224

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 Mental Health LLC's NPI number?

The NPI number for Evergreen Mental Health LLC is 1740715622. It was assigned to this organization in the NPPES registry on April 27, 2017.

Where is Evergreen Mental Health LLC located?

Evergreen Mental Health LLC is located at 23403 E Mission Ave Ste 200I, Liberty Lake, WA 99019. The listed phone number is (509) 992-4224.

What is Evergreen Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Evergreen Mental Health LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Evergreen Mental Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Mental Health LLC was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.