| 4evergreen Family Services Inc | |
|
516 Villa Ave Ste 2 Clovis CA 93612-0899 | |
| (559) 760-0948 | |
| Not Available |
| Full Name | 4evergreen Family Services Inc |
|---|---|
| Speciality | Counselor |
| Location | 516 Villa Ave Ste 2, Clovis, California |
| Authorized Official Name and Position | Leslie Lee Wenger (CFO) |
| Authorized Official Contact | 5597604223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4evergreen Family Services Inc 516 Villa Ave Ste 2 Clovis CA 93612-0899 Ph: (559) 760-0948 | 4evergreen Family Services Inc 516 Villa Ave Ste 2 Clovis CA 93612-0899 Ph: (559) 760-0948 |
| NPI Number | 1134914237 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 12/05/2025 |
| Certification Date | 12/05/2025 |
| Medicare PECOS PAC ID | 0446755243 |
|---|---|
| Medicare Enrollment ID | O20250923003921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134914237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Souphaphone Hagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205466570 PECOS PAC ID: 7416336870 Enrollment ID: I20220615002606 |
| Provider Name | Matthew Ortega |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174836340 PECOS PAC ID: 2860998184 Enrollment ID: I20251003003700 |
Renewed Hope Counseling a Marriage and Family Therapy PC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9402 E Ellery Ave, Clovis, CA 93619 Phone: 559-977-8489 |
Coast to Valley Marriage & Family Therapy Professional Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4080 Portals Ave, Clovis, CA 93619 Phone: 559-599-3931 |
Quality Family Services - Perrin House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4165 E Perrin Rd, Clovis, CA 93619 Phone: 559-297-6893 |
Loving Solutions LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4433 Joaquin Ave, Clovis, CA 93619 Phone: 831-261-1661 |
Damien Terronez Licensed Clinical Social Worker PC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 Shaw Ave, Clovis, CA 93611 Phone: 559-495-5799 |
Playground of Life Psychotherapy, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 264 Clovis Ave Ste 201, Clovis, CA 93612 Phone: 559-760-4341 |