EVERGREEN BEHAVIORAL MANAGEMENT, INC. (NPI# 1528206174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528206174 |
| Entity Type | Organization |
| Organization Name | EVERGREEN BEHAVIORAL MANAGEMENT, INC. |
| Practice Address |
416 Fairley St Laurinburg NC 28352-3612 |
| Mailing Address |
Po Box 425 Whiteville NC 28472-0425 |
| Practice Telephone | 9102768545 |
| Mailing Telephone | 9106405512 |
| Mailing Fax Number | 9106410606 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-03-31 |
| 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 | 8302543 | 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 |
| 1225277353 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2009-02-12 |
| 1497994099 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 1911 S 17th St, Suite 100, Wilmington, NC 28401-6662 | 2009-02-05 |
| Street Address |
416 FAIRLEY ST |
| City | LAURINBURG |
| State | NC |
| Zip Code | 28352-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245394071 | Kimberly Phillips | Social Worker | 416 Fairley St, Suite E, Laurinburg, NC 28352-3612 | 2006-12-19 |
| 1285997361 | Monica Shonea Crumpler | Social Worker | 416 Fairley St, Laurinburg, NC 28352-3612 | 2012-06-22 |
| 1609189745 | Evergreen Behavioral Management, Inc. | Technician | 416 Fairley St, Laurinburg, NC 28352-3612 | 2010-07-19 |
| 1558592923 | Karrie Lucille Denson | Counselor | 416 Fairley St, Suite E, Laurinburg, NC 28352-3612 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497291645 | Hope Mckee | Physician Assistant | 500 Launchwood Dr, Laurinburg, NC 28352 | 2017-01-12 |
| 1174073753 | Scotland County Area Transit System | Non-emergency Medical Transport (VAN) | 1403- C West Boulevard, Laurinburg, NC 28352 | 2016-10-07 |
| 1972969780 | Onsite Healthcare Services LLC | Family Medicine | 9141 Tartan Road, Laurinburg, NC 28352 | 2016-01-08 |
| 1952775108 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 907 Us 401 Bypass, Laurinburg Commons, Laurinburg, NC 28352 | 2015-11-25 |
| 1790165165 | Sheena Kang Neil | Dentist | 109 Mcalpine Ln, Laurinburg, NC 28352 | 2015-06-01 |
| 1114321973 | Alicia Oxendine | Social Worker | 12121 Mccarter Avenue, Laurinburg, NC 28352 | 2014-10-22 |
| 1699185231 | Allen Ballew | Family Medicine | 1707 Berwick Dr Ste B, Laurinburg, NC 28352 | 2014-05-05 |
| 1205256435 | Sharon Miller | Social Worker | 405 Biggs St., Laurinburg, NC 28352 | 2014-04-28 |
| 1215375563 | Qwenzella Wynn | Counselor | 12640 Southwood Dr, Laurinburg, NC 28352 | 2013-06-10 |
| 1114360401 | Jewel Antiqual Mcintyre | Counselor | 420 Fairley Street, Laurinburg, NC 28352 | 2013-04-17 |
| Find all providers in zip 28352 | ||||
| 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 |
|---|---|---|---|---|
| 1740628734 | Monarch | Community/Behavioral Health | 103b Mcalpine Ln, Laurinburg, NC 28352-4637 | 2013-06-12 |
| 1699113076 | Monarch | Community/Behavioral Health | 1224 Biggs St, Laurinburg, NC 28352-5012 | 2013-06-07 |
| 1326482480 | Rha Health Services Inc | Community/Behavioral Health | 1779a S Main St, Laurinburg, NC 28352-5407 | 2013-04-19 |
| 1154682474 | Discovery School of Learning, Inc | Community/Behavioral Health | 205 Kelly Dr, Laurinburg, NC 28352-8705 | 2012-06-04 |
| 1649573049 | Discovery School of Learning, Inc. | Community/Behavioral Health | 2015 Lake Dr, Laurinburg, NC 28352-5323 | 2010-12-07 |
| 1982928073 | Alpha Community Support Services, LLC | Community/Behavioral Health | 415 E Church St, Laurinburg, NC 28352-3818 | 2010-03-18 |
| 1871723247 | Turning Point Learning Academy | Community/Behavioral Health | 17160 Plant Rd, Laurinburg, NC 28352-0401 | 2009-07-20 |
| 1114161247 | Better Solutions LLC | Community/Behavioral Health | 18001 Fieldcrest Rd, Laurinburg, NC 28352-6799 | 2009-04-20 |
| 1538309513 | Southeastern United Care,llc | Community/Behavioral Health | 213 W. Cronly St., Laurinburg, NC 28352-3637 | 2009-03-03 |
| 1952552093 | Empowerment Grouphome Care Inc | Community/Behavioral Health | 521 Atkinson St, Laurinburg, NC 28352-3715 | 2008-10-07 |
| Find all providers in LAURINBURG | ||||
| City | LAURINBURG |
| Zip Code | 28352 |
Please comment or provide details below to improve the information on EVERGREEN BEHAVIORAL MANAGEMENT, INC..
| 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.