Provider Demographics
NPI:1972181527
Name:EVERGREEN COUNSELING, LLC
Entity type:Organization
Organization Name:EVERGREEN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLLIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:708-431-9972
Mailing Address - Street 1:846 E 5TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-6593
Mailing Address - Country:US
Mailing Address - Phone:708-431-9972
Mailing Address - Fax:
Practice Address - Street 1:175 DERBY ST UNIT 38
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4007
Practice Address - Country:US
Practice Address - Phone:708-431-9972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty