Provider Demographics
NPI:1215727383
Name:EVERGREEN COUNSELING AND CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:EVERGREEN COUNSELING AND CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-423-7880
Mailing Address - Street 1:6809 S MINNESOTA AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2570
Mailing Address - Country:US
Mailing Address - Phone:605-423-7880
Mailing Address - Fax:605-972-1904
Practice Address - Street 1:6809 S MINNESOTA AVE STE 102
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2570
Practice Address - Country:US
Practice Address - Phone:605-423-7880
Practice Address - Fax:605-972-1904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty