Evergreen Psychological Services

LBN: Evergreen Psychological Services
Evergreen Psychological Services is an health care organization with primary practice located at 1930 Black Lake Blvd Sw # 102 , Olympia WA 98512-5651. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty. Evergreen Psychological Services can be contacted via phone (360) 347-6172, or through Lima, Evan via phone (360) 347-6172.

Contact Information

Primary practice address
1930 Black Lake Blvd Sw # 102 Olympia WA 98512-5651
Phone: (360) 347-6172
Fax: (360) 350-4619
Website:
Map and Directions
Authorized official contact:
Name: Lima, Evan PHD
Phone: (360) 347-6172

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1184376048
LBN Legal business name Evergreen Psychological Services
DBA Doing business as
Authorized official Lima, Evan PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2022
Last updated Jan 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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