| Evergreen Aba, Llc | |
|
831 Backwater Rd Port Saint Joe FL 32456-4984 | |
| (404) 213-9150 | |
| Not Available |
| Full Name | Evergreen Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 831 Backwater Rd, Port Saint Joe, Florida |
| Authorized Official Name and Position | Melanie Ackerman (PRESIDENT) |
| Authorized Official Contact | 4042139150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Aba, Llc 831 Backwater Rd Port Saint Joe FL 32456-4984 Ph: (404) 213-9150 | Evergreen Aba, Llc 831 Backwater Rd Port Saint Joe FL 32456-4984 Ph: (404) 213-9150 |
| NPI Number | 1710877832 |
|---|---|
| Provider Enumeration Date | 07/09/2025 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710877832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Amber Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 209 7th Street, Port Saint Joe, FL 32456 Phone: 850-247-0835 | |
Coastal Counseling And Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 Williams Ave, Port Saint Joe, FL 32456 Phone: 850-250-2579 Fax: 813-262-0999 |