Evergrow Counseling Llc

LBN: Evergrow Counseling Llc
Evergrow Counseling Llc is an health care organization with primary practice located at 843 Main St Ste 2 , Manchester CT 06040-6041. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Evergrow Counseling Llc can be contacted via phone (203) 927-6409, or through Hernandez, Jaleesa M via phone (203) 927-6409.

Contact Information

Primary practice address
843 Main St Ste 2 Manchester CT 06040-6041
Phone: (203) 927-6409
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Jaleesa M LPC, NCC
Phone: (203) 927-6409

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1487129284
LBN Legal business name Evergrow Counseling Llc
DBA Doing business as
Authorized official Hernandez, Jaleesa M LPC, NCC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2018
Last updated Sep 30th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487129284 NPPES
Connecticut MEDICAID 1891038956

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