| Evergreen Counseling Services, Llc | |
|
316 W Ogeechee St Ste D Sylvania GA 30467-1933 | |
| (912) 687-2611 | |
| Not Available |
| Full Name | Evergreen Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 316 W Ogeechee St Ste D, Sylvania, Georgia |
| Authorized Official Name and Position | Lauren Amason (OWNER) |
| Authorized Official Contact | 9126872611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Counseling Services, Llc Po Box 2223 Sylvania GA 30467-7423 Ph: () - | Evergreen Counseling Services, Llc 316 W Ogeechee St Ste D Sylvania GA 30467-1933 Ph: (912) 687-2611 |
| NPI Number | 1174196612 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Medicare PECOS PAC ID | 2163874884 |
|---|---|
| Medicare Enrollment ID | O20240118002288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174196612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lauren Maierhoffer Amason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801429212 PECOS PAC ID: 3072965797 Enrollment ID: I20240118002558 |
| Provider Name | Georgia Martha Boswell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528789849 PECOS PAC ID: 4981130119 Enrollment ID: I20241211000034 |
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