# EVERGREEN COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073594776
- **Authorized official:** MS. SHIRLEY FAYE SAMMONS-COX LPC, LMFT, LCDC (THERAPIST)
- **Authorized official phone:** (832) 877-0295

## Contact information

- **Practice address:** 23777 COUNTY ROAD 125, BEDIAS, TX 77831-3373
- **Practice address phone:** (832) 877-0295
- **Practice address fax:** (832) 295-5752
- **Mailing address:** 23777 COUNTY ROAD 125, BEDIAS, TX 77831-3373
- **Mailing address phone:** (832) 877-0295
- **Mailing address fax:** (832) 295-5752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1393 | TX | — |
| 101YM0800X | Mental Health Counselor | 10083 | TX | Yes |
| 106H00000X | Marriage & Family Therapist | 02054 | TX | — |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 10/25/2011