OrganizationActive
Evergreen Mental Health and Wellness LLC
NPI 1295330520 · Adult Psychiatric/Mental Health Registered Nurse · Austin, TX
Provider details
- NPI number
- 1295330520
- Entity type
- Organization
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Rachel Ivanov, President(512) 591-6841
Specialties & taxonomies
Nursing Service Providers
Practice location
13168 Mill Stone Dr
Austin, TX 78729-2727
Phone: (512) 591-6841
Approximate (ZIP-level) locationGet directions
Mailing address
13168 Mill Stone Dr
Austin, TX 78729-2727
Registry dates
- Enumerated
- 2020-12-03
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.