Provider Demographics
NPI:1972390045
Name:EVERGREEN COUNSELING & MEDIATION, PLLC
Entity type:Organization
Organization Name:EVERGREEN COUNSELING & MEDIATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:LUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LPC
Authorized Official - Phone:936-494-9993
Mailing Address - Street 1:145 SUMMER NIGHT CV
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-5910
Mailing Address - Country:US
Mailing Address - Phone:936-494-9993
Mailing Address - Fax:936-494-9993
Practice Address - Street 1:145 SUMMER NIGHT CV
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-5910
Practice Address - Country:US
Practice Address - Phone:936-494-9993
Practice Address - Fax:936-494-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty