Evergreen Therapy LLC
NPI 1629957626 · Adult Mental Health Clinic/Center · Hattiesburg, MS
Evergreen Therapy LLC is a Adult Mental Health Clinic/Center organization in Hattiesburg, MS (NPI 1629957626).
Provider details
- NPI number
- 1629957626
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Victoria Alexander, Counselor/Owner(601) 408-5946
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-02
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Frequently asked questions
- What is Evergreen Therapy LLC's NPI number?
- Evergreen Therapy LLC's National Provider Identifier (NPI) is 1629957626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Therapy LLC?
- Evergreen Therapy LLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Evergreen Therapy LLC located?
- Evergreen Therapy LLC's practice location on file with NPPES is 105 N 40th Ave, Hattiesburg, MS 39401-6606.
- What is Evergreen Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Therapy LLC is (769) 390-7929.
- Who is the authorized official for Evergreen Therapy LLC?
- The authorized official listed on Evergreen Therapy LLC's NPPES record is Victoria Alexander, Counselor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Therapy LLC's NPI active?
- Yes — Evergreen Therapy LLC's NPI (1629957626) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.