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Organization
EVERGREEN COUNSELING CENTER
Active
Organization
EVERGREEN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY FAYE SAMMONS-COX LPC, LMFT, LCDC (THERAPIST)
(832) 877-0295
Entity
Organization
Contact information
Practice address
23777 COUNTY ROAD 125, BEDIAS, TX 77831-3373
(832) 877-0295
(832) 295-5752
Mailing address
23777 COUNTY ROAD 125, BEDIAS, TX 77831-3373
(832) 877-0295
(832) 295-5752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1393
TX
101YM0800X
Mental Health Counselor
Primary
10083
TX
106H00000X
Marriage & Family Therapist
02054
TX
Other
Enumeration date
11/09/2005
Last updated
10/25/2011
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