| 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 |
Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Cherry St, Sylvania, GA 30467 Phone: 912-564-7222 Fax: 912-564-7951 | |
Ogeechee Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 E Ogeechee St, Sylvania, GA 30467 Phone: 912-564-7825 Fax: 912-564-5778 | |
Soulshine Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 316 W Ogeechee St Ste D, Sylvania, GA 30467 Phone: 912-536-5418 | |
Gerdie And Louise Personal Care Home, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1223 Newington Hwy, Sylvania, GA 30467 Phone: 912-978-0267 | |
Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Lawton Rd, Sylvania, GA 30467 Phone: 912-829-4511 Fax: 478-289-2798 | |
Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Cherry St, Sylvania, GA 30467 Phone: 912-564-7222 Fax: 912-564-7951 |