| Evergreen Mental Health Counseling, Pllc | |
|
6 Bear Brook Ct Clifton Park NY 12065-2738 | |
| (518) 250-9634 | |
| Not Available |
| Full Name | Evergreen Mental Health Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 6 Bear Brook Ct, Clifton Park, New York |
| Authorized Official Name and Position | Sally Ann Hale (OWNER) |
| Authorized Official Contact | 5182509634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Mental Health Counseling, Pllc 6 Bear Brook Ct Clifton Park NY 12065-2738 Ph: (518) 250-9634 | Evergreen Mental Health Counseling, Pllc 6 Bear Brook Ct Clifton Park NY 12065-2738 Ph: (518) 250-9634 |
| NPI Number | 1962109876 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Medicare PECOS PAC ID | 9032650379 |
|---|---|
| Medicare Enrollment ID | O20240926001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962109876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sally Ann Hale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811582356 PECOS PAC ID: 4587105820 Enrollment ID: I20240926001359 |
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