Provider Demographics
NPI:1841910924
Name:EVERGREEN HOPE COUNSELING LLC
Entity type:Organization
Organization Name:EVERGREEN HOPE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:REBEKA
Authorized Official - Last Name:KASIC
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-314-2611
Mailing Address - Street 1:3277 FOX CHASE CIR N APT 208
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-2302
Mailing Address - Country:US
Mailing Address - Phone:727-314-2611
Mailing Address - Fax:
Practice Address - Street 1:3277 FOX CHASE CIR N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-2349
Practice Address - Country:US
Practice Address - Phone:727-314-2611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health