EVERGREEN BEHAVIORAL MANAGEMENT, INC. (NPI# 1225277353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225277353 |
| Entity Type | Organization |
| Organization Name | EVERGREEN BEHAVIORAL MANAGEMENT, INC. |
| Practice Address |
1409 Pinckney St Whiteville NC 28472-2220 |
| Mailing Address |
Po Box 425 Whiteville NC 28472-0425 |
| Practice Telephone | 9106405512 |
| Practice Fax Number | 9106410606 |
| Mailing Telephone | 9106405512 |
| Mailing Fax Number | 9106410606 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-03-13 |
| Authorized Official Name | MS. GINGER G. GORE (OWNER) |
| Authorized Official Telephone | 9106405512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300537 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174823413 | Evergreen Behavioral Management, Inc. | Assisted Living Facility | 5794 Old Us Highway 74, Chadbourn, NC 28431-6779 | 2010-11-02 |
| 1457651309 | Evergreen Behavioral Management, Inc. | Assisted Living Facility | 46 S Cardinal Dr, Wilmington, NC 28403-1843 | 2010-10-26 |
| 1679712277 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 4276 Legend Ave Ste C, Fayetteville, NC 28303-3497 | 2009-02-05 |
| 1588816789 | Evergreen Behavioral Management, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5794 Old Highway 74, Chadbourn, NC 28431-6779 | 2008-10-21 |
| 1538311972 | Evergreen Behavioral Management, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1686 Sam Potts Hwy, Hallsboro, NC 28442-9458 | 2008-10-16 |
| 1508167735 | Evergreen Behavioral Management, Inc. | Assisted Living Facility | 1686 Sam Potts Hwy, Hallsboro, NC 28442-9458 | 2010-11-04 |
| 1669780300 | Evergreen Behavioral Management, Inc. | Clinic/Center | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2010-09-15 |
| 1609189745 | Evergreen Behavioral Management, Inc. | Technician | 416 Fairley St, Laurinburg, NC 28352-3612 | 2010-07-19 |
| 1497994099 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 1911 S 17th St, Suite 100, Wilmington, NC 28401-6662 | 2009-02-05 |
| 1528206174 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 416 Fairley St, Laurinburg, NC 28352-3612 | 2009-02-04 |
| Street Address |
1409 PINCKNEY ST |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922074525 | Francis Patterson Gorman | Psychiatry & Neurology | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2006-02-24 |
| 1316349772 | The T Allen Group LLC | Clinic/Center | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2014-09-17 |
| 1265872816 | Robert Lee Buskey | Counselor | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2013-06-27 |
| 1356686703 | Michelle L Perkins | Social Worker | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2012-12-11 |
| 1295070639 | Avis M Odom | Counselor | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2012-12-11 |
| 1801146725 | Anajinette Owens | Counselor | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2012-09-18 |
| 1598028193 | Fallon M Farber | Social Worker | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2012-06-19 |
| 1134496151 | Gale H. Cummings | Counselor | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2011-11-18 |
| 1891079539 | Brittany Carroll Barnes | Social Worker | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2011-09-29 |
| 1669780300 | Evergreen Behavioral Management, Inc. | Clinic/Center | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2010-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447790803 | Monarch | Community/Behavioral Health | 1019 S Madison St, Whiteville, NC 28472-4503 | 2017-03-06 |
| 1184089658 | Pathways Counseling Services Pllc | Community/Behavioral Health | 802 S Franklin St, Whiteville, NC 28472-4708 | 2015-12-28 |
| 1306274519 | Coastal Community Management LLC | Community/Behavioral Health | 725 Wedgewood Rd, Whiteville, NC 28472-2928 | 2013-10-24 |
| 1770921025 | Monarch | Community/Behavioral Health | 626 S Madison St, Whiteville, NC 28472-4130 | 2013-06-10 |
| 1144587866 | Ace Enrichment Services, Inc. | Community/Behavioral Health | 204 W Virgil St, Whiteville, NC 28472-4018 | 2012-04-19 |
| 1679880520 | Wilmar Counseling, Pllc | Community/Behavioral Health | 158 Country Club Rd, Whiteville, NC 28472-9131 | 2010-09-13 |
| 1154645554 | Community Innovations, Inc. | Community/Behavioral Health | 805 Wilson St, Whiteville, NC 28472-4713 | 2010-03-15 |
| 1164756623 | Lifechangingbehavioralhealthservices | Community/Behavioral Health | 18 Whiteville Mini Mall, Whiteville, NC 28472-2105 | 2009-09-30 |
| 1689800484 | Superb Care, LLC | Community/Behavioral Health | 805 N Franklin St Ste 110, Whiteville, NC 28472-2734 | 2009-06-08 |
| 1053552315 | Southeastern United Care,llc | Community/Behavioral Health | 138 Memory Plaza, Whiteville, NC 28472-2640 | 2009-03-17 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.